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1023802790 NPI number — PRISCILLA AMO KUFFOUR AGACNP

NPI Number: 1023802790
Health Care Provider/Practitioner: PRISCILLA AMO KUFFOUR AGACNP

Information about “1023802790” NPI (PRISCILLA AMO KUFFOUR AGACNP) exists in 1023802790 in HTML format HTML  |  1023802790 in plain Text format TXT  |  1023802790 in PDF (Portable Document Format) PDF  |  1023802790 in an XML format XML  formats.

NPI Number : 1023802790 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023802790",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMO KUFFOUR",
    "FirstName": "PRISCILLA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AGACNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 60447",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28260-0447",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-277-1717",
    "MailingAddressFaxNumber": "336-277-1718",
    "FirstLinePracticeLocationAddress": "648 ALMONDRIDGE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RURAL HALL",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27045-9887",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-277-1717",
    "PracticeLocationAddressFaxNumber": "336-277-1718",
    "EnumerationDate": "04/08/2025",
    "LastUpdateDate": "08/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "5021993",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "5021993",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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