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

Omari Cannon

Individual provider Emergency Registered Nurse · NPI 1013782218

Omari Cannon is an Emergency Registered Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Show map & directions

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

Specialties & licences

Emergency Registered Nurse (primary) Taxonomy 163WE0003X · Licence 4704352284 (MI)

Record details

NPI number1013782218
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address4646 John R St, Detroit, MI 48201-1916

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