Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLISA CANNON
ActiveMALLISA CANNON is a Licensed Practical Nurse healthcare provider located in NOVI, Michigan. NPI 1497180657 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · NOVI, MI
Registration Details
- NPI Number
- 1497180657
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2013 (12.892752908017 yrs)
- Last Updated
- Sep 6, 2013
- License
-
4703111681 (MI)
Practice Information
- Address
-
41621 W 11 MILE RDNOVI, MI, 483751804Browse MI providers · Browse ZIP 48375
- Phone
- 2482990030
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in NOVI, MI
| Name | Credential | NPI |
|---|---|---|
| DONNA LYNN VILLENEUVE | LPN | 1346575826 |
| MS. NICOLE DONYALE MUHAMMAD | LPN | 1710213889 |
| TRACEY GREEN | — | 1770841710 |
| CORALEE ORLOWSKI | — | 1669721486 |
| TWYLET FRISON | — | 1710236542 |
| MARY SUE TRUESDELL | — | 1033468848 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.