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1770826950
SHANNON HENNESSY FORD
DURHAM, NC
NPI
1770826950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NC 149601)
Enumeration Date
2013-04-05
Last Update Date
2023-09-29
Business Address
SHANNON HENNESSY FORD CPNP
1301 FAYETTEVILLE ST
DURHAM, NC 27707-2325
Phone number: 919-956-4000
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Mailing Address
SHANNON HENNESSY FORD CPNP
4609 PLEASANT GROVE CHURCH RD
RALEIGH, NC 27613-3323
Phone number: 919-510-4474
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