Individual provider · Type 1 NPI
Rubaba Cannon
Psychiatric/Mental Health Nurse Practitioner · Atlanta, GA
NPI number
1073964458
Active
Practice location
3621 Vinings Slope SE Unit 1332
Atlanta, GA 30339-4168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN242262 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1073964458
Rubaba Cannon's National Provider Identifier is 1073964458, issued on Jun 27, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Atlanta, GA. The record was last updated on Jan 29, 2025.