MEAGAN BROUSSARD CANNON FNP-C - NPI 1184397978 - Nurse Practitioner in Austin, TX

Q: What is Meagan Cannon's NPI number?

The NPI number for Meagan Cannon is 1184397978. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Q: What is Meagan Cannon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Meagan Cannon was last updated on August 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Meagan Broussard Cannon Fnp-c NPPES

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

MEAGAN BROUSSARD CANNON FNP-C (NPI 1184397978) is an individual family provider in Austin, Texas, licensed in Texas (1046798) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1184397978

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMEAGAN BROUSSARD CANNONCredential: FNP-C

Location Address3407 GLENVIEW AVEAustin, TX 78703-1448

Mailing Address3407 Glenview AveAustin, TX 78703-1448 · (512) 716-0971

Phone(512) 716-0971

Sole ProprietorNo

Enumeration DateJuly 27, 2021

Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration

NPPES CertifiedAugust 27, 2021

✔ NPI 1184397978 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

License✔ Licensed in TX · 1046798

3407 GLENVIEW AVE, Austin, TX 78703

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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