Individual provider · Type 1 NPI

Susie Shantila Cannon, TRADITIONAL MIDWIFE

Lay Midwife · Tupelo, MS

NPI number 1487508024 Active

Practice location

1800 W Main St
Tupelo, MS 38801-3254

Mailing address

184 Lewellen St
West Point, MS 39773-2138

Specialties and licenses

TaxonomyCodeLicense
Lay Midwife Primary 175M00000XNA (MS)

Lay Midwife: A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states.

3 other providers at this address

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About NPI 1487508024

Susie Shantila Cannon, TRADITIONAL MIDWIFE's National Provider Identifier is 1487508024, issued on Feb 23, 2026. The primary taxonomy on file is Lay Midwife (175M00000X), and the practice location is in Tupelo, MS. The record was last updated on Feb 23, 2026.