Healthcare Provider Details

I. General information

NPI: 1982527131
Provider Name (Legal Business Name): MICKEY ALAN CANNON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 W MONROE ST APT 4H
GRENADA MS
38901-5031
US

IV. Provider business mailing address

1010 W MONROE ST APT 4H
GRENADA MS
38901-5031
US

V. Phone/Fax

Practice location:
  • Phone: 662-983-0487
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number908516
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: