Jacqueline Felicia Cannon, APRN, AGPCNP
NPI 1801696380ActiveIndividual· Nurse Practitioner, Gerontology· Raleigh, NC
Nurse Practitioner, Gerontology (APRN, AGPCNP) with Goshen Medical Center Incorporated, practicing in Raleigh, North Carolina. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1801696380 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, AGPCNP |
| Sole proprietor | Yes |
| NPI issued | Mar 14, 2025 |
| Last updated in NPPES | Mar 24, 2025 |
| Certified by provider | Mar 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 5021868 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NC) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Goshen Medical Center IncorporatedFaison, NC · 99 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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