Individual provider · Type 1 NPI

Kimberly Lynn Cannon, FNP-BC

Family Nurse Practitioner · Jackson, MI

NPI number 1407375207 Active

Practice location

3857 Cooper St
Jackson, MI 49201-7547

Mailing address

5039 Page Ave
Jackson, MI 49201-9101

Other practice locations

  • 30999 Morlock St # 924, Livonia, MI 48152-1662 · (313) 713-4543
  • 30999 Morlock St # 924, Livonia, MI 48152-1662 · (313) 713-4543

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704304007 (MI)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1407375207

Kimberly Lynn Cannon, FNP-BC's National Provider Identifier is 1407375207, issued on Sep 12, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MI. The record was last updated on Mar 17, 2018.