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MS. SHANDA DOLL MORGAN CANNON LPN
NPI 1578099040
Licensed Practical Nurse in Dayton, OH

Active since May 03, 2017
4950 NORTHCUTT PL, DAYTON, OH 45414(937) 496-2020(937) 496-2016 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shanda Doll Morgan Cannon Lpn NPPES

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

MS. SHANDA DOLL MORGAN CANNON LPN (NPI 1578099040) is an individual licensed practical nurse in Dayton, Ohio, licensed in Ohio (PN.140752-M-IV) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1578099040
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. SHANDA DOLL MORGAN CANNONCredential: LPN
Location Address4950 NORTHCUTT PLDayton, OH 45414-3840
Mailing Address600 Wayne AveDayton, OH 45410-1122 · (937) 496-2000 · Fax (937) 463-2958
Phone(937) 496-2020
Fax(937) 496-2016
Sole ProprietorNo
Enumeration DateMay 3, 2017
✔ NPI 1578099040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN.140752-M-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4950 NORTHCUTT PL, Dayton, OH 45414
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Other Identifiers 1

Medicaid310626223OH

Other Providers at the Same Location NPPES 16

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

NATASHA RENEE DAVIS LPN
Licensed Practical Nurse
4950 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 496-2020
JAILA JUEL DUNFORD QMHS
Case Manager/Care Coordinator
4950 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 496-2020
AUSTI DUBOSE
Licensed Practical Nurse
4950 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 496-2020
CARMELLA HORTON BSN, RN
Nurse Practitioner (Family)
4950 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 496-2020
CHEVELLE WYATT RN
Registered Nurse
4950 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 496-2020
MR. ANTHONY LEE CRAWFORD LPN
Licensed Practical Nurse
4950 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 496-2020
BRANDY DAVINA HENDERSON RN,FNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4950 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 496-2020
NIQUI VERNA BAXTER LPN
Licensed Practical Nurse
4950 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 496-2020

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 Shanda Morgan Cannon's NPI number?

The NPI number for Shanda Morgan Cannon is 1578099040. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Shanda Morgan Cannon located?

Shanda Morgan Cannon practices at 4950 Northcutt Pl, Dayton, OH 45414. The listed phone number is (937) 496-2020.

What is Shanda Morgan Cannon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shanda Morgan Cannon was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.