Provider Demographics
NPI:1023802790
Name:AMO KUFFOUR, PRISCILLA (AGACNP)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:
Last Name:AMO KUFFOUR
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4408 BAYLESFORD LN
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9298
Mailing Address - Country:US
Mailing Address - Phone:860-502-5270
Mailing Address - Fax:
Practice Address - Street 1:648 ALMONDRIDGE DR
Practice Address - Street 2:
Practice Address - City:RURAL HALL
Practice Address - State:NC
Practice Address - Zip Code:27045-9887
Practice Address - Country:US
Practice Address - Phone:860-502-5270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5021993363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care