Kimberly Lynn Cannon, FNP-BC
Nurse Practitioner, Family in Jackson, MI. Individual provider (NPI-1).
NPI number1407375207
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1407375207
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kimberly Lynn Cannon
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2017
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704304007 | MI | Yes |
Practice location
3857 Cooper StJackson, MI 49201-7547
Phone 517-780-5600
Mailing address
5039 Page AveJackson, MI 49201-9101
Phone 313-713-4543
Other practice locations
30999 Morlock St # 924
Livonia, MI 48152-1662
Livonia, MI 48152-1662
Phone 313-713-4543 · Fax 313-713-4543
30999 Morlock St # 924
Livonia, MI 48152-1662
Livonia, MI 48152-1662
Phone 313-713-4543 · Fax 313-713-4543
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All 92 Family Nurse Practitioner providers in Jackson · All 4,114 providers in Jackson
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