Individual provider · Type 1 NPI

Shannon Hennessy Ford, CPNP

Pediatric Nurse Practitioner · Durham, NC

NPI number 1770826950 Active

Practice location

1301 Fayetteville St
Durham, NC 27707-2325

Mailing address

4609 Pleasant Grove Church Rd
Raleigh, NC 27613-3323

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X149601 (NC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1770826950

Shannon Hennessy Ford, CPNP's National Provider Identifier is 1770826950, issued on Apr 5, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Durham, NC. The record was last updated on Sep 29, 2023.