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Stephen Jerome Cannon, CRNA

Nurse Anesthetist, Certified Registered in Pensacola, FL. Individual provider (NPI-1).

NPI number1790737294
StatusActive
Last updated in NPPESMay 3, 2023

Details

NPI
1790737294
Entity type
Individual (NPI-1)
Name
Stephen Jerome Cannon
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2006
Certification date
May 3, 2023
Last updated
May 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredARNP9205700FLYes
367500000X Nurse Anesthetist, Certified Registered28237950AIN
367500000X Nurse Anesthetist, Certified RegisteredAP115468TX

Practice location

4810 N Davis Hwy
Pensacola, FL 32503-2341

Phone 850-474-8988 · Fax 850-476-5312

Mailing address

4828 N Davis Hwy
Pensacola, FL 32503-2341

Phone 850-477-8109 · Fax 850-478-2412

Other practice locations

2026 S Jackson St
Jacksonville, TX 75766-5822

Phone 903-541-4600

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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