Organization · Type 2 NPI

Cantons Physician Group

Nurse Practitioner · Canton, MS

NPI number 1619088838 Active

Practice location

1883 Highway 43 South, Suite D
Canton, MS 39046

Fax (601) 855-5265

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Podiatrist 213E00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

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…

2 other providers at this address

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About NPI 1619088838

Cantons Physician Group's National Provider Identifier is 1619088838, issued on Aug 31, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Canton, MS. The record was last updated on Sep 11, 2025.