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

Nicole Marie Cannon

Individual provider Substance Abuse Rehabilitation Facility · NPI 1124313788

Nicole Marie Cannon is a Substance Abuse Rehabilitation Facility in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

6333 E Skelly Dr
Tulsa, OK 74135-6106
Phone: (918) 664-4224
Show map & directions

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

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1124313788
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2011
Last updated in NPPESJune 12, 2011

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