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Individual

JANICE KUNNAKKATTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2700 S PROVIDENCE RD STE 300, WAXHAW, NC 28173-6314
(704) 243-2254
(704) 243-2339
Mailing address
2700 S PROVIDENCE RD STE 300, WAXHAW, NC 28173-6314
(704) 243-2339

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012908
NC
363LF0000X
Family Nurse Practitioner
CNP 4850
MN

Other

Enumeration date
10/26/2016
Last updated
02/26/2026
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