Individual provider · Type 1 NPI

Melissa Thick Cannon, APRN FNP-C

Family Nurse Practitioner · Callahan, FL

NPI number 1417601709 Active

Practice location

542325 US Highway 1
Callahan, FL 32011-6496

Mailing address

9667 Black Jack Rd
Macclenny, FL 32063-4517

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11017973 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1417601709

Melissa Thick Cannon, APRN FNP-C's National Provider Identifier is 1417601709, issued on Feb 7, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Callahan, FL. The record was last updated on Feb 7, 2022.