Cannon, Melinda

Cannon, Melinda is an individual health care provider with primary practice located at 14590 State Route 93 , Jackson OH 45640-8977. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cannon, Melinda can be contacted via phone (740) 286-2826.

Contact Information

Primary practice address
14590 State Route 93 Jackson OH 45640-8977
Phone: (740) 286-2826
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN.CNP.0030096 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.0030096 Ohio

Profile Details

NPI number 1629734355
LBN Legal business name Cannon, Melinda
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2021
Last updated Jun 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629734355 NPPES
Ohio MEDICAID 0469216

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