Provider Demographics
NPI:1679103782
Name:KENNEY, ABIGAIL (FNP-C)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:KENNEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 HUNT DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-3497
Mailing Address - Country:US
Mailing Address - Phone:919-693-2141
Mailing Address - Fax:
Practice Address - Street 1:101 HUNT DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-3497
Practice Address - Country:US
Practice Address - Phone:919-693-2141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-17
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC292984163WE0003X
NC5013516363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency