person
Stephanie Cannon, FNP-C
Family Nurse Practitioner in Spartanburg, South Carolina
NPI 1730600396

Stephanie Cannon is a Family Nurse Practitioner based in Atlanta, SC and is specialized in Family. Stephanie Cannon practices in Spartanburg, SC and has the professional credentials of FNP-C. The NPI Number for Stephanie Cannon is 1730600396 and holds a License No. 21115 (South Carolina).

The current practice location address for Stephanie Cannon is 100 E Wood St Ste 202, Spartanburg, SC and can be reached out via phone at 864-560-7070 and via fax at 864-560-7073.

Location: 100 E Wood St Ste 202, Spartanburg, SC, 30374-3070
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Provider Profile Details
NPI Number
1730600396
Provider Name
Stephanie Cannon
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
100 E Wood St Ste 202, Spartanburg, SC, 30374-3070
Phone Number
864-560-7070
Fax Number
864-560-7073
Provider Enumeration Date
07/03/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCB4707628 01 SC MEDICARE PIN
NP4876 05 SC
institution
Provider Business Practice Location Address Details
Address
100 E Wood St Ste 202
City
State
Zip
29303-3058
Phone Number
864-560-7070
Fax Number
864-560-7073
person
Provider Business Mailing Address Details
Address
100 E Wood St Ste 202
City
State
Zip
29303-3058
Phone Number
864-560-7070
Fax Number
864-560-7073
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
21115 (South Carolina)
Definition
Definition to come...
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