Individual
AMY M CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A004878
AR
363LF0000X
Family Nurse Practitioner
AP08409
LA
363LF0000X
Family Nurse Practitioner
Primary
AP140651
TX
Other
Enumeration date
07/08/2015
Last updated
02/18/2019
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