Donna Cannon (NPI# 1306236617, PAC ID# 6204139678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1306236617 |
| PAC ID by PECOS | 6204139678 |
| Professional Enrollment ID | I20160119000510 |
| Full Name | Donna Cannon |
| Organization Legal Name | MANTACHIE RURAL HEALTH CARE, INC |
| Address |
5681 Hwy 363 Mantachie MS 38855-7632 |
| Phone Number | 6622824226 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567372121 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5681 Hwy 363, Mantachie, MS 38855-7632 | 6622824226 | MANTACHIE RURAL HEALTH CARE, INC |
| Organization Legal Name | MANTACHIE RURAL HEALTH CARE, INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Dale Jr. | Emergency Medicine | Mantachie Rural Health Care, Inc | 5681 Hwy 363, Mantachie, MS 38855-7632 |
| Timothy B Gillespie | Clinical Social Worker | Mantachie Rural Health Care, Inc | 5681 Hwy 363, Mantachie, MS 38855-7632 |
| Amanda L Martin | Nurse Practitioner | Mantachie Rural Health Care, Inc | 5681 Hwy 363, Mantachie, MS 38855-7632 |
| Crystal J Nichols | Nurse Practitioner | Mantachie Rural Health Care, Inc | 5681 Hwy 363, Mantachie, MS 38855-7632 |
| Kathryn C Wright | Nurse Practitioner | Mantachie Rural Health Care, Inc | 5681 Hwy 363, Mantachie, MS 38855-7632 |
| Street Address |
5681 HWY 363 |
| City | MANTACHIE |
| State | MS |
| Zip | 38855-7632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Dale Jr. | Emergency Medicine | Mantachie Rural Health Care, Inc | 5681 Hwy 363, Mantachie, MS 38855-7632 |
| Timothy B Gillespie | Clinical Social Worker | Mantachie Rural Health Care, Inc | 5681 Hwy 363, Mantachie, MS 38855-7632 |
| Amanda L Martin | Nurse Practitioner | Mantachie Rural Health Care, Inc | 5681 Hwy 363, Mantachie, MS 38855-7632 |
| Crystal J Nichols | Nurse Practitioner | Mantachie Rural Health Care, Inc | 5681 Hwy 363, Mantachie, MS 38855-7632 |
| Kathryn C Wright | Nurse Practitioner | Mantachie Rural Health Care, Inc | 5681 Hwy 363, Mantachie, MS 38855-7632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Carpenter | Nurse Practitioner | Hometown Care of Mantachie, LLC | 3275 Hwy 371 N, Mantachie, MS 38855-7145 |
| Shannon C Burt | Nurse Practitioner | Hometown Care of Mantachie, LLC | 3275 Hwy 371 N, Mantachie, MS 38855-7145 |
| Victoria Deniece Williams | Physical Therapy | Pro Pt | 3077 Hwy 371 N, Mantachie, MS 38855-7274 |
| Alisha G Comer | Qualified Speech Language Pathologist | Pro Pt | 3077 Hwy 371 N, Mantachie, MS 38855-7274 |
| Kimberly Lynn Lee | Physical Therapy | Pro Pt | 3077 Hwy 371 N, Mantachie, MS 38855-7274 |
| Audra K Winter | Physical Therapy | Pro Pt | 3077 Hwy 371 N, Mantachie, MS 38855-7274 |
| Travis Castleberry | Physical Therapy | Pro Pt | 3077 Hwy 371 N, Mantachie, MS 38855-7274 |
| Michael Ann Tally | Speech Language Pathologist | Pro Pt | 3077 Hwy 371 N, Mantachie, MS 38855-7274 |
| Joy Y Franks | Nurse Practitioner | Community Family Healthcare Inc | 285 Ivie Ln, Mantachie, MS 38855-9764 |
| Kimberly M Stanley | Nurse Practitioner | Community Family Healthcare Inc | 285 Ivie Ln, Mantachie, MS 38855-9764 |
| Find all physicians in zip 38855 | |||
| City | MANTACHIE |
| Zip Code | 38855 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MANTACHIE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Donna Cannon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.