SHANNON J. CANNON C.P.N.P. – NPI #1811294614
Nurse Practitioner

SHANNON CANNON is a nurse practitioner located in GLEN ALLEN, VA. NPPES has assigned the NPI number 1811294614 to SHANNON CANNON on February 15, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 363LP0200X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Pediatrics

The NPI profile was previously updated about 11 years ago on Dec 08, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHANNON CANNON below.

NPI Profile for
SHANNON J. CANNON

NPI Number
1811294614
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SHANNON J. CANNON
Credentials
C.P.N.P.
Primary location
5207 HICKORY PARK DR
SUITE C
GLEN ALLEN, VA 23059-2624
Phone: (804) 377-8981 Fax: (804) 377-8984
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LP0200X
- Nurse Practitioner / Pediatrics (Primary)
VA 0024167941
163W00000X
- Registered Nurse
VA 0001191706

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.