Individual provider · Type 1 NPI

Shanda Doll Morgan Cannon, LPN

Licensed Practical Nurse · Dayton, OH

NPI number 1578099040 Active

Practice location

4950 Northcutt Pl
Dayton, OH 45414-3840

Call (937) 496-2020 Map

Fax (937) 496-2016

Mailing address

600 Wayne Ave
Dayton, OH 45410-1122

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.140752-M-IV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1578099040

Shanda Doll Morgan Cannon, LPN's National Provider Identifier is 1578099040, issued on May 3, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dayton, OH. The record was last updated on May 3, 2017.