Organization
DEBRA SUE CANNON
Active
Other names
Clarksburg Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA SUE CANNON APRN (OWNER)
(731) 535-3636
Entity
Organization
Contact information
Practice address
2359 HIGHWAY 22 N, YUMA, TN 38390-4329
(731) 535-3636
(731) 535-3636
Mailing address
2359 HIGHWAY 22 N, YUMA, TN 38390-4329
(731) 553-5363
(731) 535-3636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
01/25/2019
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