Kawanna Nicole Cannon
Kawanna Nicole Cannon is a Nurse Practitioner in Montgomery, Alabama. Qualified in 2022, 4 years ago. Practices with Health Services Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Alabama.
- Years since qualifying
- 4
- Licensed in
- AL
- In the registry since
- 2023
Practice location Address checks out
1845 Cherry StMontgomery, AL 36107-2613
Phone: (334) 420-5001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 1-174325 (AL) |
|---|
Record details
| NPI number | 1356042279 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 16, 2023 |
| Last updated in NPPES | May 2, 2023 |
| Certification date | May 2, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Health Services Inc — 30 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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