Individual provider · Type 1 NPI

Ericia Latrice Cannon, NURSE PRACTITONER

Family Nurse Practitioner · Jackson, MS

NPI number 1013473891 Active

Practice location

3502 W Northside Dr
Jackson, MS 39213-4454

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X903107 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1013473891

Ericia Latrice Cannon, NURSE PRACTITONER's National Provider Identifier is 1013473891, issued on Feb 16, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Mar 7, 2019.