National Provider Identifier Database

VERONICA L CANNON, APRN – NPI #1689080384
Family


Contact Information

VERONICA L CANNON, APRN
1604 MLK BLVD
MALVERN, AR72104
Phone: 501-732-5400
Fax: 501-325-9650
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for VERONICA L CANNON

NPI Number 1689080384
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/02/2014
Last updated 02/29/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • AR License #: A004099
  • AR Medicaid: 204425758
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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