Provider Demographics
NPI:1235500893
Name:KENNEDY-NEWTON, PAULA SUZANNE (MSN, AGNP-C, OCN)
Entity type:Individual
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First Name:PAULA
Middle Name:SUZANNE
Last Name:KENNEDY-NEWTON
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Gender:F
Credentials:MSN, AGNP-C, OCN
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Mailing Address - Street 1:DUKE CANCER CTR
Mailing Address - Street 2:20 DUKE MEDICINE CIRCLE, BOX 3233
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-681-5257
Mailing Address - Fax:919-613-5228
Practice Address - Street 1:DUKE CANCER CTR
Practice Address - Street 2:20 DUKE MEDICINE CIRCLE, BOX 3233
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-681-5257
Practice Address - Fax:919-613-5228
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5008065363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care