Individual provider · Type 1 NPI
Colleen G. Cannon, CFNP
Family Nurse Practitioner · Jackson, MS
NPI number
1518994672
Active
Practice location
2500 N State St, Division Of Infectious Disease
Jackson, MS 39216-4500
Fax (601) 984-5565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R850953 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1518994672
Colleen G. Cannon, CFNP's National Provider Identifier is 1518994672, issued on Jun 26, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Nov 18, 2014.