MRS. JAIMIE SUZANNE CANNON


Address: 6468 State Highway 77, Benton, MO 63736-8237
Phone: 5735453565

MRS. JAIMIE SUZANNE CANNON (NPI# 1902297880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902297880
Entity Type Individual
Full Name MRS. JAIMIE SUZANNE CANNON
Credential MSN, APRN, FNP-C
Practice Address 6468 State Highway 77
Benton
MO 63736-8237
Practice Telephone 5735453565
Practice Fax Number 5735453491
Mailing Telephone 5735453565
Mailing Fax Number 5735453491
Enumeration Date 2015-02-12
Last Update Date 2015-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2015004268 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6468 STATE HIGHWAY 77
City BENTON
State MO
Zip Code 63736-8237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427385376 Amber Nicole Thorne Nurse Practitioner 6468 State Highway 77, Benton, MO 63736-8237 2009-11-13
1609230507 Missouri Delta Medical Center Clinic/Center 6468 State Highway 77, Benton, MO 63736-8237 2016-04-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528348778 Southeast Missouri Health Network Dentist 6724 Highway 77 E, Benton, MO 63736 2011-08-19
1245415389 Comprehensive Family Health Care LLC Family Medicine 142 S Winchester St, Benton, MO 63736-0000 2008-01-08
1699084814 Travis James Weiss Physician Assistant 6724 State Highway 77, Benton, MO 63736-8238 2010-10-05
1932108974 Southeast Missouri Health Network Clinic/Center 6738 State Highway 77, Benton, MO 63736-8238 2005-07-20
1992048961 Jessica Pickel Dental Hygienist 6724 State Highway 77, Benton, MO 63736-8238 2013-03-28
1497035661 Southeast Missouri Health Network Clinic/Center 6724 State Highway 77, Benton, MO 63736-8238 2011-08-19
1366514523 Scott County R-iv School District Physical Therapist 4035 State Highway 77, Benton, MO 63736-9162 2006-11-14
1407489727 Lana Jean Atkins Speech-Language Pathologist 4035 State Highway 77, Benton, MO 63736-9162 2020-02-14
1043686546 A & A In-home Health Care, LLC Home Health 568 County Highway 504, Benton, MO 63736-9193 2015-08-19
1275134264 Stephanie Suzanne Worth Physical Therapy Assistant 135 Meyers Lake Ct, Benton, MO 63736-9201 2020-11-05
Find all providers in zip 63736

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710525720 Melanie Mabry Nurse Practitioner 11510 State Highway 298, Benton, AR 72019 2019-12-20
1538625900 Morgan Dyanne Colson Nurse Practitioner 1576 Brookshire Dr, Benton, AR 72019-9547 2019-02-11
1639648041 Laurie Jeannette Kerschner Nurse Practitioner 166 Wellivers Hill Rd, Benton, PA 17814-8131 2018-11-14
1790253326 Seth Alexander Weisheit Nurse Practitioner 824 Military Road, Benton, AR 72015 2018-11-13
1982171484 Reanna Christine Hargrove Nurse Practitioner 2314 Olive Creek Rd, Benton, KY 42025-4208 2018-11-01
1710474093 Carmacare Inc Nurse Practitioner 2408 Military Rd, Benton, AR 72015-2743 2018-04-23
1366950693 Blake Borders Nurse Practitioner 222 Bland St, Benton, MO 63736-9206 2018-01-22
1063920452 Pamela Ann Bates Nurse Practitioner 824 Military Rd, Benton, AR 72015-3347 2018-01-19
1023525490 Kortney Kai Spann Nurse Practitioner 4110 Darla Dr, Benton, AR 72015-6299 2018-01-05
1548791510 Monica Suzanne Williams Nurse Practitioner 10676 Hinds Rd, Benton, AR 72019-9442 2017-03-22
Find all providers in BENTON

Competitor

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City BENTON
Zip Code 63736

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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