Individual provider · Type 1 NPI
Mackenzie Blaine Canon
Student in an Organized Health Care Education/Training Program · Shelbyville, TN
NPI number
1356200927
Active
Practice location
204 Narrows Rd
Shelbyville, TN 37160-5008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Shelbyville
About NPI 1356200927
Mackenzie Blaine Canon's National Provider Identifier is 1356200927, issued on Jan 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shelbyville, TN. The record was last updated on Jan 20, 2026.