Physician Compare National (NPI:1598903213)

HEALTHCARE PROVIDER: DEBRA SUE CANNON F.N.P

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1598903213
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931266889
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090320000567
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CANNON
	Individual professional last name
Provider First Name	DEBRA
	Individual professional first name
Provider Middle Name	SUE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2359 HWY 22 N
	Group Practice or individual's line 1 address
City	YUMA
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	383904329
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7315714777
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440061
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VOLUNTEER COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440016
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAPTIST MEMORIAL HOSPITAL HUNTINGDON
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	441320
	Medicare CCN of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y