Debra Sue Cannon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DEBRA SUE CANNON

Doing business as

Clarksburg Family Clinic

Practice address

2359 Highway 22 N
Yuma, TN 38390-4329

Phone

(731) 535-3636

Fax

(731) 535-3636

NPI assigned

Aug 24, 2018

Last updated

Jan 25, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra Sue Cannon, APRNNPI 1598903213

Title

Owner

Phone

(731) 535-3636

Specialties & licenses 1

Addresses

Other names 1

• Clarksburg Family Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra Sue Cannon, F.N.P

  • Nurse Practitioner
  • Yuma, TN
  • NPI 1598903213
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1083195283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 HIGHWAY 22 N",
            "city": "YUMA",
            "state": "TN",
            "postal_code": "383904329",
            "telephone_number": "731-553-5363",
            "fax_number": "731-535-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 HIGHWAY 22 N",
            "city": "YUMA",
            "state": "TN",
            "postal_code": "383904329",
            "telephone_number": "731-535-3636",
            "fax_number": "731-535-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA SUE CANNON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-535-3636",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarksburg Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Sue Cannon, F.N.P

• Family Nurse Practitioner in Yuma, TN
• Providers in Yuma, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.