Individual provider · Type 1 NPI
Natasha Yvonne Jackson-Cannon, AG-ACNP
Acute Care Nurse Practitioner · Crystal River, FL
NPI number
1578997136
Active
Practice location
756 N Suncoast Blvd
Crystal River, FL 34429-9072
Fax (352) 581-6226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse | 163WS0200X | RN 9355976 (FL) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | APRN11006144 (FL) |
Acute Care Nurse Practitioner: Definition to come...
3 other providers at this address
Other acute care nurse practitioner providers in Crystal River
About NPI 1578997136
Natasha Yvonne Jackson-Cannon, AG-ACNP's National Provider Identifier is 1578997136, issued on Aug 30, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Crystal River, FL. The record was last updated on Jul 20, 2021.