Individual provider · Type 1 NPI
Kimberly Cannon, AGPCNP-BC
Nurse Practitioner · St. Clair Shores, MI
Practice location
28315 Harper Ave
St. Clair Shores, MI 48081-1687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704259824 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1578940656
Kimberly Cannon, AGPCNP-BC's National Provider Identifier is 1578940656, issued on Apr 28, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Apr 28, 2015.