Individual
LAKEISHA CANNON-SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
1194 N MAIN ST, BLAKELY, GA 39823-1513
(346) 541-7104
Mailing address
1194 N MAIN ST, BLAKELY, GA 39823-1513
(346) 541-7104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP241591
GA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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