Individual provider · Type 1 NPI
Kelly M. Cannon, NP
Nurse Practitioner · Jackson, MI
Practice location
205 N East Ave
Jackson, MI 49201-1753
Fax (517) 788-4701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704289757 (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…
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About NPI 1992160451
Kelly M. Cannon, NP's National Provider Identifier is 1992160451, issued on Dec 28, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MI. The record was last updated on Dec 28, 2015.