DEBRA SUE CANNON (NPI# 1083195283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083195283 |
| Entity Type | Organization |
| Organization Name | DEBRA SUE CANNON |
| Other Organization Name | CLARKSBURG FAMILY CLINIC |
| Practice Address |
2359 Highway 22 N Yuma TN 38390-4329 |
| Practice Telephone | 7315353636 |
| Practice Fax Number | 7315353636 |
| Mailing Telephone | 7315535363 |
| Mailing Fax Number | 7315353636 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | DEBRA SUE CANNON (OWNER) |
| Authorized Official Telephone | 7315353636 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Clarksburg Family Clinic | Doing Business As Name - Organization |
| Street Address |
2359 HIGHWAY 22 N |
| City | YUMA |
| State | TN |
| Zip Code | 38390-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598903213 | Debra Sue Cannon | Nurse Practitioner | 37 Wallace Ln, Yuma, TN 38390 | 2009-02-03 |
| 1295340826 | Tiana Leigh Akins | Nurse Practitioner | 2580 Highway 22 N, Yuma, TN 38390-4331 | 2020-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336543 | Jessica Gonzales | Technician, Pathology | 11274 S Fortuna Rd Ste D436, Yuma, AZ 85367-7847 | 2020-11-03 |
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1669071361 | Harmony Clinic and Medspa | Nurse Practitioner | 670 E 32nd St Ste 8, Yuma, AZ 85365-3576 | 2020-10-22 |
| 1609474410 | Nnabuikem Ndubuisi Anaba | Physical Therapist | 3591 W 22nd St Unit D, Yuma, AZ 85364-7643 | 2020-10-14 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1508463498 | Hands N Hearts Home Care LLC | Case Manager/Care Coordinator | 4407 S Agave Ave, Yuma, AZ 85365-6395 | 2020-10-05 |
| 1114524279 | Mika Naranjo | Registered Nurse | 1047 S 9th Ave, Yuma, AZ 85364-3757 | 2020-10-02 |
| 1043826191 | Fresenius Medical Care Yuma, LLC | Clinic/Center | 1200 S Castle Dome Ave Ste C, Yuma, AZ 85365-5305 | 2020-09-23 |
| 1235745464 | Vasco Healthcare Inc | Clinic/Center | 2110 W 24th St Ste A, Yuma, AZ 85364-8878 | 2020-09-22 |
| 1639785272 | Katelyn Faucette Hall | Nurse Practitioner | 2982 S 47th Ave, Yuma, AZ 85364-7471 | 2020-09-18 |
| Find all providers in YUMA | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071361 | Harmony Clinic and Medspa | Nurse Practitioner | 670 E 32nd St Ste 8, Yuma, AZ 85365-3576 | 2020-10-22 |
| 1639785272 | Katelyn Faucette Hall | Nurse Practitioner | 2982 S 47th Ave, Yuma, AZ 85364-7471 | 2020-09-18 |
| 1093321085 | Larry Anthony Morales | Nurse Practitioner | 10405 E. Tule Rd, Yuma, AZ 85365-8536 | 2020-09-16 |
| 1295340826 | Tiana Leigh Akins | Nurse Practitioner | 2580 Highway 22 N, Yuma, TN 38390-4331 | 2020-09-10 |
| 1477176766 | Eleganz Medical Spa Pllc | Nurse Practitioner | 3970 W 24th St Ste 203, Yuma, AZ 85364-9261 | 2020-05-21 |
| 1427681162 | Sarah Deleon | Nurse Practitioner | 2281 W 24th St Ste 16, Yuma, AZ 85364-6197 | 2020-02-21 |
| 1164989968 | Iris Davis Flores | Nurse Practitioner | 2851 S Avenue B Ste 2951, Yuma, AZ 85364-7782 | 2019-02-28 |
| 1013415843 | Carolyne Adero | Nurse Practitioner | 2189 S Avenue A Ste A, Yuma, AZ 85364-8308 | 2018-01-26 |
| 1760904015 | Eugenia L Kereluk | Nurse Practitioner | 11279 S Glenwood Ave, Yuma, AZ 85367-5885 | 2017-07-07 |
| 1891144796 | Maxine Elizabeth Millard | Nurse Practitioner | 13386 E 42nd Dr, Yuma, AZ 85367-6111 | 2016-06-10 |
| Find all providers in YUMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.