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CLARKSBURG FAMILY CLINIC
NPI 1083195283
Nurse Practitioner - Family in Yuma, TN

Active since August 24, 2018
2359 HIGHWAY 22 N, YUMA, TN 38390(731) 535-3636(731) 535-3636 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2019, Aug 24, 2018 (2 updates tracked since 2018).

About Clarksburg Family Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKSBURG FAMILY CLINIC (NPI 1083195283) is a healthcare organization registered as a family in Yuma, Tennessee and active in the NPI registry since August 2018. The organization lists Debra Sue Cannon, Owner, as its authorized official.

NPPES Registry Identity

NPI1083195283
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDEBRA SUE CANNON
Location Address2359 HIGHWAY 22 NYuma, TN 38390-4329
Mailing Address2359 Highway 22 NYuma, TN 38390-4329 · (731) 553-5363 · Fax (731) 535-3636
Phone(731) 535-3636
Fax(731) 535-3636
Organization SubpartNo
Authorized OfficialDebra Sue CannonOwner · (731) 535-3636
Enumeration DateAugust 24, 2018
Last NPPES UpdateJanuary 25, 20192 updates tracked since enumeration
✔ NPI 1083195283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2359 HIGHWAY 22 N, Yuma, TN 38390
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Other Names 1

Doing Business AsClarksburg Family Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Sue Cannon's NPI number?

The NPI number for Debra Sue Cannon is 1083195283. It was assigned to this organization in the NPPES registry on August 24, 2018. The provider is doing business as Clarksburg Family Clinic.

Where is Debra Sue Cannon located?

Debra Sue Cannon is located at 2359 Highway 22 N, Yuma, TN 38390. The listed phone number is (731) 535-3636.

What is Debra Sue Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Debra Sue Cannon was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.