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CARLISSA CANNON NPI 1255864476


NPI Information

NPI: 1255864476
Provider Name: CARLISSA CANNON
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
6810 CLEMENT AVE
CLEVELAND, OH
ZIP 44105
Phone: (216) 856-4759
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Carlissa Cannon is a home health registered nurse in Cleveland, OH. Carlissa Cannon NPI is 1255864476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6810 CLEMENT AVE
CLEVELAND, OH
ZIP 44105-939
Phone: (216) 856-4759

The enumeration date for this NPI number is 4/5/2017 and was last updated on 4/5/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WH0200XRegistered NurseHome Health501134280606OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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