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

Kelly M Cannon, NP

Individual provider Nurse Practitioner · NPI 1992160451

Kelly M Cannon, NP is a Nurse Practitioner in Jackson, Michigan. Qualified in 2016, 10 years ago. Practices with Family Care Psychiatry PLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 788-4730
Fax: (517) 788-4701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704289757 (MI)

Record details

NPI number1992160451
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 28, 2015
Last updated in NPPESDecember 28, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Family Care Psychiatry Plc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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