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Emily J Cannon, ACNP
Acute Care Nurse Practitioner in Tyler, Texas
NPI 1720319130

Emily J Cannon is an Acute Care Nurse Practitioner based in Dallas, TX and is specialized in Acute Care. Emily J Cannon practices in Tyler, TX and has the professional credentials of ACNP. The NPI Number for Emily J Cannon is 1720319130 and holds a License No. AP118873 (Texas).

The current practice location address for Emily J Cannon is 619 S Fleishel Ave, Tyler, TX and can be reached out via phone at 903-606-1264. You can also correspond with Emily J Cannon through the mailing address at PO BOX 846098, DALLAS, TX - 75284-6098 (mailing address contact number: 903-324-6400).

Location: 619 S Fleishel Ave, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720319130
Provider Name
Emily J Cannon
Credential
ACNP
Provider Entity Type
Individual
Gender
Female
Address
619 S Fleishel Ave, Tyler, TX, 75284-6098
Phone Number
903-606-1264
Fax Number
Provider Enumeration Date
01/25/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P02469301 01 TX MEDICARE RAIL ROAD
1C3376 01 TX MEDICARE
8MK526 01 TX BCBS
398191220 05 TX
institution
Provider Business Practice Location Address Details
Address
619 S Fleishel Ave
City
Tyler
State
Texas
Zip
75701-2004
Phone Number
903-606-1264
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 846098
City
Dallas
State
Texas
Zip
75284-6098
Phone Number
903-324-6400
Fax Number
903-592-9986
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
723802 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
AP118873 (Texas)
Definition
Definition to come...
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