Rubaba Cannon
Nurse Practitioner, Psych/Mental Health in Atlanta, GA. Individual provider (NPI-1).
NPI number1073964458
StatusActive
Last updated in NPPESJan 29, 2025
Details
- NPI
- 1073964458
- Entity type
- Individual (NPI-1)
- Name
- Rubaba Cannon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2016
- Certification date
- Jan 29, 2025
- Last updated
- Jan 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN242262 | GA | Yes |
Practice location
3621 Vinings Slope Se Unit 1332Atlanta, GA 30339-4168
Phone 404-307-9691
Mailing address
3621 Vinings Slope Se Unit 1332Atlanta, GA 30339-4168
Phone 404-307-9691
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