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VERONICA CANNON APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1689080384

Individual Registrant:
 VERONICA  CANNON APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
805 THIRD ST  HORSESHOE BEND, AR 72512-3736 US
Tel: 870-670-4861  Fax: 870-670-4751

Contact information for business:
PO BOX 497  AUGUSTA, AR 72006-0497 US
Tel: 870-347-2534  Fax: 870-347-3492

Registration Information:
NPI: 1689080384
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
ARA004099

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
204425758AR05




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