Jessica Canaan, PA-C
Physician Assistant in Hampstead, NC. Individual provider (NPI-1).
NPI number1164044327
StatusActive
Last updated in NPPESMay 11, 2020
Details
- NPI
- 1164044327
- Entity type
- Individual (NPI-1)
- Name
- Jessica Canaan
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2020
- Certification date
- May 11, 2020
- Last updated
- May 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-09661 | NC | Yes |
Practice location
144 Merchants CirHampstead, NC 28443-5260
Phone 910-803-0340
Mailing address
1015 Nutt St Apt 244Wilmington, NC 28401-4381
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Other Physician Assistant providers in Hampstead, NC
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- Caroline Fountain Moore, PA-CNPI 1639920432
- Carrie Harrell Thomas, PA-CNPI 1154661965
- Breony Miller Vinson, PA-CNPI 1861628695
All 8 Physician Assistant providers in Hampstead · All 474 providers in Hampstead
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