Cannon, Veronica Lea

Cannon, Veronica Lea is an individual health care provider with primary practice located at 1604 Mlk Blvd , Malvern AR 72104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cannon, Veronica Lea can be contacted via phone (501) 732-5400.

Contact Information

Primary practice address
1604 Mlk Blvd Malvern AR 72104
Phone: (501) 732-5400
Fax: (501) 325-9650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A004099 Arkansas

Profile Details

NPI number 1689080384
LBN Legal business name Cannon, Veronica Lea
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2014
Last updated Feb 29th, 2024 - about 7 months 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 1689080384 NPPES
Arkansas MEDICAID 204425758

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