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

Emily J Cannon, ACNP

Individual provider Nurse Practitioner · NPI 1720319130

Emily J Cannon, ACNP is a Nurse Practitioner in Tyler, Texas. Qualified in 2009, 17 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

619 S Fleishel Ave
Tyler, TX 75701-2004
Phone: (903) 606-1264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 912 S Fleishel Ave, Tyler, TX 75701-2018 — (903) 592-6901
  • 619 S Fleishel Ave Ste 101, Tyler, TX 75701-2004 — (903) 606-2296

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 723802 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP118873 (TX)

Record details

NPI number1720319130
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorNo
NPI enumeratedJanuary 25, 2010
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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