MRS. SHANNON JEANETTE CANNON C.P.N.P. NPI 1811294614

NPI Information

NPI: 1811294614
Provider Name: MRS. SHANNON JEANETTE CANNON, C.P.N.P.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
5207 HICKORY PARK DR
SUITE C
GLEN ALLEN, VA
ZIP 23059
Phone: (804) 377-8981
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MRS. Shannon Jeanette Cannon, C.P.N.P. is a pediatrics nurse practitioner in Glen Allen, VA. MRS. Shannon Jeanette Cannon, C.P.N.P. NPI is 1811294614. 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:

5207 HICKORY PARK DR
SUITE C
GLEN ALLEN, VA
ZIP 23059-624
Phone: (804) 377-8981
Fax: (804) 377-8984

The enumeration date for this NPI number is 2/15/2011 and was last updated on 12/8/2015.

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
1	163W00000X	Registered Nurse		0001191706	VIRGINIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	0024167941	VIRGINIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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