Individual
MRS. KELLY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 461-4000
Mailing address
210 JUPITER LAKES BLVD STE 4105, JUPITER, FL 33458-7190
(561) 743-9938
(561) 575-0801
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN9312491
FL
363L00000X
Nurse Practitioner
Primary
APRN11005031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184270209
MEDICARE MEDICAID AND OTHER
FL
Enumeration date
08/14/2019
Last updated
10/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us