Cannon, Susie Shantila

Cannon, Susie Shantila is an individual health care provider with primary practice located at 1800 W Main St , Tupelo MS 38801-3254. She recently has only one registered license in Other Service Providers / Midwife, Lay, which is considered as her primary health care specialty. Cannon, Susie Shantila can be contacted via phone (504) 533-4716.

Contact Information

Primary practice address
1800 W Main St Tupelo MS 38801-3254
Phone: (504) 533-4716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife, Lay 175M00000X NA Mississippi

Profile Details

NPI number 1487508024
LBN Legal business name Cannon, Susie Shantila
Credentials TRADITIONAL MIDWIFE
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2026
Last updated Feb 23rd, 2026 - about 8 months 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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