Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carol A Cannon, CNP

Individual provider Registered Nurse · NPI 1366996944

Carol A Cannon, CNP is a Registered Nurse in Philadelphia, Pennsylvania. Works from 3 locations. Licensed in Massachusetts and Pennsylvania.

Licensed in
MA, PA
In the registry since
2016
Specialties on file
4
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

333 Cottman Ave
Philadelphia, PA 19111
Phone: (215) 728-2500
Fax: (215) 707-8028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 55 Fruit St, Boston, MA 02114-2621 — (215) 801-8810
  • 333 Cottman Ave, Philadelphia, PA 19111 — (215) 728-2500

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP019511 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 280058 (MA)
Oncology Registered Nurse Taxonomy 163WX0200X · Licence SP019511 (PA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 280058 (MA)

Record details

NPI number1366996944
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 11, 2016
Last updated in NPPESFebruary 11, 2019

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