Emily J Cannon

ACNP | Nurse Practitioner | 16+ years Exp

619 S Fleishel Ave, Tyler
  Texas, 75701-2004
903-606-1264
Accepts Medicare Nurse Anesthetist in Tyler, Texas.
Emily J Cannon is a Tyler, Texas based nurse practitioner with 16 years of experience in . She completed her graduation in 2009. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Emily J Cannon is 723802 for Acute Care in Texas. Her current practice location is 619 S Fleishel Ave, Tyler. Patients can reach her at 903-606-1264. Emily J Cannon is ACNP and her NPI number (Unique professional ID assigned by NPPES) is 1720319130.
Emily J Cannon has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Emily J Cannon speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Emily J Cannon
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: ACNP
Experience: 16+ years
Medical School Attended:Other
Graduation Year:2009
Accepts Medicare Assignment:Yes
Practice Address:619 S Fleishel Ave, Tyler,
Texas, 75701-2004
Phone:903-606-1264
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 0345375358
Enrollment ID: I20100316000755
NPI Number: 1720319130
NPI Enumeration Date: 25 Jan, 2010
NPI Last Update On: 27 Jul, 2023

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Emily J Cannon are as mentioned below.
License NumberSpecializationStateStatus
723802Acute Care TexasPrimary
AP118873Nurse Practitioner TexasSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(450102)Tyler, TXAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Emily J Cannon is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Christus Trinity Clinic (3072426741)954
Other Medical Identifiers:
Other legacy medical identifiers associated with Emily J Cannon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
P02469301OtherTexasMEDICARE RAIL ROAD
1C3376OtherTexasMEDICARE
8MK526OtherTexasBCBS
398191220MedicaidTexas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Emily J Cannon
Po Box 846098,
Dallas, Texas
Zip: 75284-6098
Phone Number: 903-324-6400
Fax Number: 903-592-9986
Patients can reach Emily J Cannon at 619 S Fleishel Ave, Tyler, Texas or can call to book an appointment on 903-606-1264.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.