Individual
MRS. DEBRA SUE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
37 WALLACE LN, YUMA, TN 38390
(731) 535-3114
(731) 535-3636
Mailing address
2359 HIGHWAY 22 N, YUMA, TN 38390-4329
(731) 535-3114
(731) 535-3636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN13950
TN
Other
Enumeration date
02/03/2009
Last updated
04/15/2019
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