DEBRA SUE CANNON NPI 1083195283

NPI Information

  • NPI: 1083195283
  • Provider Name: DEBRA SUE CANNON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: CLARKSBURG FAMILY CLINIC
  • CLIA Number: 44D2170207
  • Address: 2359 HIGHWAY 22 N
    YUMA, TN
    ZIP 38390
  • Phone: (731) 535-3636

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NPI Details

DEBRA SUE CANNON is a family nurse practitioner in Yuma, TN. DEBRA SUE CANNON NPI is 1083195283. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clarksburg Family Clinic.

The provider's business location address is:

2359 HIGHWAY 22 N
YUMA, TN
ZIP 38390-329
Phone: (731) 535-3636
Fax: (731) 535-3636

The provider's authorized official is Debra Sue Cannon .
The authorized official title is Owner and has the following contact phone number (731) 535-3636.

The CLIA number assigned to this NPI record is 44D2170207 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/24/2018 and was last updated on 1/25/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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