Cannon, Shannon Jeanette

Cannon, Shannon Jeanette is an individual health care provider with primary practice located at 5207 Hickory Park Dr Suite C, Glen Allen VA 23059-2624. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Cannon, Shannon Jeanette can be contacted via phone (804) 377-8981.

Contact Information

Primary practice address
5207 Hickory Park Dr Suite C Glen Allen VA 23059-2624
Phone: (804) 377-8981
Fax: (804) 377-8984
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001191706 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024167941 Virginia

Profile Details

NPI number 1811294614
LBN Legal business name Cannon, Shannon Jeanette
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2011
Last updated Dec 8th, 2015 - about 10 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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