Kimberly Lynn Cannon, FNP-BC Valid NPI

Individual provider · Family Nurse Practitioner · Jackson, MI

NPI

1407375207

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

4704304007 (MI)

Sex

Female

Sole proprietor

Yes

Enumerated

2017-09-12

Last updated

2018-03-17