Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kimberly Lynn Cannon, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1407375207

MS. Kimberly Lynn Cannon, FNP-BC is a Clinical Social Worker in Jackson, Michigan. Qualified in 2009, 17 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2017
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3857 Cooper St
Jackson, MI 49201-7547
Phone: (517) 780-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 30999 Morlock St # 924, Livonia, MI 48152-1662 — (313) 713-4543
  • 30999 Morlock St # 924, Livonia, MI 48152-1662 — (313) 713-4543

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704304007 (MI)

Record details

NPI number1407375207
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedSeptember 12, 2017
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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