Patricia Ann Cannon, RN
Individual provider Active NPI Community Health Registered Nurse · College Park, GA
NPI 1245398254 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1245398254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- RN058107 (GA)
- Practice address
- 1920 John Wesley Drive
College Park, GA 30337 - Phone
- (404) 765-4155
- Fax
- (404) 765-4149
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN058107 | GA | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN058107 | GA | Yes |
Addresses
Primary practice location
1920 John Wesley Drive
College Park, GA 30337
Mailing address
99 Jesse Hill Jr Dr SE
Atlanta, GA 35303
Phone (404) 473-0121
Other names
- Miss Patricia Ann Peterson
Other providers in College Park, GA
- C P Sharma,M.D PC
- Denita Caldwell Kelly
- Ashley Calhoun
- Jarena Campbell
- Keajia Dashun Campbell
- Cardiac Disease Specialists, P.C.
- Carefree Building Maintenance
- Phylicia Cash
- Celestial Plastic and Reconstructive Surgery
- Centers for Pediatric Dental Sedation LLC
All providers in College Park, GA · Community Health Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.