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

Ericia Latrice Cannon, NURSEPRACTITONER

Individual provider Family Nurse Practitioner · NPI 1013473891

Ericia Latrice Cannon, NURSEPRACTITONER is a Family Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2019.

Licensed in
MS
In the registry since
2019

Practice location Address checks out

3502 W Northside Dr
Jackson, MS 39213-4454
Phone: (601) 362-5321
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903107 (MS)

Record details

NPI number1013473891
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITONER
Sole proprietorNo
NPI enumeratedFebruary 16, 2019
Last updated in NPPESMarch 7, 2019

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