Ericia Latrice Cannon, NURSE PRACTITONER is a family nurse practitioner in Jackson, MS. Ericia Latrice Cannon, NURSE PRACTITONER NPI is 1013473891. 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:
3502 W NORTHSIDE DR
JACKSON, MS
ZIP 39213-454
Phone: (601) 362-5321
The NPI 1013473891 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/16/2019 and was last updated on 3/7/2019.