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Ms. Shanda Doll Morgan Cannon, LPN
Licensed Practical Nurse in Dayton, Ohio
NPI 1578099040

Shanda Doll Morgan Cannon is a Licensed Practical Nurse based in Dayton, OH. Shanda Doll Morgan Cannon practices in Dayton, OH and has the professional credentials of LPN. The NPI Number for Shanda Doll Morgan Cannon is 1578099040 and holds a License No. PN.140752-M-IV (Ohio).

The current practice location address for Shanda Doll Morgan Cannon is 4950 Northcutt Pl, Dayton, OH and can be reached out via phone at 937-496-2020 and via fax at 937-496-2016.

Location: 4950 Northcutt Pl, Dayton, OH, 45410-1122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578099040
Provider Name
Shanda Doll Morgan Cannon
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
4950 Northcutt Pl, Dayton, OH, 45410-1122
Phone Number
937-496-2020
Fax Number
937-496-2016
Provider Enumeration Date
05/03/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
310626223 05 OH
institution
Provider Business Practice Location Address Details
Address
4950 Northcutt Pl
City
Dayton
State
Ohio
Zip
45414-3840
Phone Number
937-496-2020
Fax Number
937-496-2016
person
Provider Business Mailing Address Details
Address
4950 Northcutt Pl
City
Dayton
State
Ohio
Zip
45414-3840
Phone Number
937-496-2020
Fax Number
937-496-2016
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN.140752-M-IV (Ohio)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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