Jackson-Cannon, Natasha Yvonne

Jackson-Cannon, Natasha Yvonne is an individual health care provider with primary practice located at 756 N Suncoast Blvd , Crystal River FL 34429-9072. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Jackson-Cannon, Natasha Yvonne can be contacted via phone (352) 346-3127.

Contact Information

Primary practice address
756 N Suncoast Blvd Crystal River FL 34429-9072
Phone: (352) 346-3127
Fax: (352) 581-6226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN 9355976 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN11006144 Florida

Profile Details

NPI number 1578997136
LBN Legal business name Jackson-Cannon, Natasha Yvonne
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2013
Last updated Jul 20th, 2021 - about 3 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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