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

Mackenzie Blaine Canon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356200927

Mackenzie Blaine Canon is a Student in an Organized Health Care Education/Training Program in Shelbyville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2026

Practice location Address checks out

204 Narrows Rd
Shelbyville, TN 37160-5008
Phone: (931) 808-1540
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (TN)

Record details

NPI number1356200927
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedJanuary 20, 2026
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Other providers in Shelbyville