Rubaba Cannon
Rubaba Cannon is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2024, 2 years ago. Accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 2
- Licensed in
- GA
- In the registry since
- 2016
Practice location Address checks out
3621 Vinings Slope SE Unit 1332Atlanta, GA 30339-4168
Phone: (404) 307-9691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence RN242262 (GA) |
|---|
Record details
| NPI number | 1073964458 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 27, 2016 |
| Last updated in NPPES | January 29, 2025 |
| Certification date | January 29, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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