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Contact Information

STEPHANIE CANNON, APRN
64A JONES MILL RD
WOODBURY, GA30293-2678
 Phone: 706-553-5367
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for STEPHANIE CANNON · (Female)

NPI # 1710632302
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 02/13/2022
Last updated 10/15/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • GA License # RN249067
Hospital affiliation(s) Not Available
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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