Individual provider · Type 1 NPI
Janice Kunnakkattu, NP-C
Family Nurse Practitioner · Waxhaw, NC
NPI number
1902358831
Active
Practice location
2700 S Providence Rd Ste 300
Waxhaw, NC 28173-6314
Fax (704) 243-2339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5012908 (NC) |
| Family Nurse Practitioner | 363LF0000X | CNP 4850 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1902358831
Janice Kunnakkattu, NP-C's National Provider Identifier is 1902358831, issued on Oct 26, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waxhaw, NC. The record was last updated on Feb 26, 2026.