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SHELLEY CANNON
NPI 1700110749
Nurse Practitioner - Family in Phoenix, AZ

Active since September 23, 2009
9201 N 5TH ST, PHOENIX, AZ 85020(602) 331-5779(602) 331-7855 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelley Cannon NPPES

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

SHELLEY CANNON (NPI 1700110749) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP3189) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1700110749
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELLEY CANNON
Location Address9201 N 5TH STPhoenix, AZ 85020-2532
Mailing Address9201 N 5th StPhoenix, AZ 85020-2532 · (602) 331-5779 · Fax (302) 331-7855
Phone(602) 331-5779
Fax(602) 331-7855
Sole ProprietorNo
Enumeration DateSeptember 23, 2009
Last NPPES UpdateMay 30, 2012
✔ NPI 1700110749 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 AZ · AP3189
9201 N 5TH ST, Phoenix, AZ 85020
Open in Google Maps ↗

Other Identifiers 1

Medicaid503287AZ

Other Providers at the Same Location NPPES 13

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

CASSIDY BROOKING-LANG LCSW
Social Worker (Clinical)
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
ADRIANA GUADALUPE CARDONA LMSW
Social Worker
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 331-5792
DESERT MISSION INC
Community/Behavioral Health
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 331-5817
DESERT MISSION INC
Clinic/Center (Dental)
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 870-6060
VERONICA TEREZ HURD NP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 331-5817
DR. TYLER BLAINE TORINA DO
Student in an Organized Health Care Education/Training Program
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
KALLEN JOY BEALL DO
Student in an Organized Health Care Education/Training Program
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 870-6348
NANNIE JACKSON
Counselor (Addiction (Substance Use Disorder))
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 331-5792

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 Shelley Cannon's NPI number?

The NPI number for Shelley Cannon is 1700110749. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Shelley Cannon located?

Shelley Cannon practices at 9201 N 5th St, Phoenix, AZ 85020. The listed phone number is (602) 331-5779.

What is Shelley 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 Shelley Cannon was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.