Provider Demographics
NPI:1982665246
Name:KHOUNE, ANA A (FNP-C)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:A
Last Name:KHOUNE
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 1:2500 NASH ST N STE B
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-1394
Mailing Address - Country:US
Mailing Address - Phone:252-237-1225
Mailing Address - Fax:252-640-2752
Practice Address - Street 1:2500 NASH ST N STE B
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1394
Practice Address - Country:US
Practice Address - Phone:252-237-1225
Practice Address - Fax:252-640-2752
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201640363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ01902Medicare UPIN
NC2593058Medicare ID - Type Unspecified