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

Mickey Alan Cannon

Individual provider Family Nurse Practitioner · NPI 1982527131

Mickey Alan Cannon is a Family Nurse Practitioner in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2026.

Licensed in
MS
In the registry since
2026

Practice location Address checks out

1010 W Monroe St Apt 4H
Grenada, MS 38901-5031
Phone: (662) 983-0487
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 908516 (MS)

Record details

NPI number1982527131
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 4, 2026
Last updated in NPPESAugust 4, 2026
Certification dateAugust 3, 2026
Mailing address1010 W Monroe St Apt 4h, Grenada, MS 38901-5031

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