Individual provider · Type 1 NPI
Stephanie Cannon, APRN
Primary Care Nurse Practitioner · Woodbury, GA
NPI number
1710632302
Active
Practice location
64A Jones Mill Rd
Woodbury, GA 30293-2678
Mailing address
1981 Hendricks Church Rd
Thomaston, GA 30286-2047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN249067 (GA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | RN249067 (GA) |
| Gerontology Nurse Practitioner | 363LG0600X | RN249067 (GA) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1710632302
Stephanie Cannon, APRN's National Provider Identifier is 1710632302, issued on Feb 13, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Woodbury, GA. The record was last updated on Oct 15, 2025.