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Kelly M Cannon, NP
Nurse Practitioner in Jackson, Michigan
NPI 1992160451

Kelly M Cannon is a Nurse Practitioner based in Jackson, MI. Kelly M Cannon practices in Jackson, MI and has the professional credentials of NP. The NPI Number for Kelly M Cannon is 1992160451 and holds a License No. 4704289757 (Michigan).

The current practice location address for Kelly M Cannon is 205 N East Ave, Jackson, MI and can be reached out via phone at 517-788-4730 and via fax at 517-788-4701.

Location: 205 N East Ave, Jackson, MI, 49201-1753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992160451
Provider Name
Kelly M Cannon
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
205 N East Ave, Jackson, MI, 49201-1753
Phone Number
517-788-4730
Fax Number
517-788-4701
Provider Enumeration Date
12/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 N East Ave
City
Jackson
State
Michigan
Zip
49201-1753
Phone Number
517-788-4730
Fax Number
517-788-4701
person
Provider Business Mailing Address Details
Address
205 N East Ave
City
Jackson
State
Michigan
Zip
49201-1753
Phone Number
517-788-4730
Fax Number
517-788-4701
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704289757 (Michigan)
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.
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