SHANA COLE CANNON LPN
NPI 1821424276
Licensed Practical Nurse in Collierville, TN

Active since September 17, 2013
777 W. POPLAR AVE., SUITE 104, COLLIERVILLE, TN 38017(901) 221-7175(901) 221-7913 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 5, 2024, Feb 5, 2016 (2 updates tracked since 2016).

About Shana Cole Cannon Lpn NPPES

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

SHANA COLE CANNON LPN (NPI 1821424276) is an individual licensed practical nurse in Collierville, Tennessee, licensed in Tennessee (LPN0000078550) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1821424276
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHANA COLE CANNONCredential: LPN
Location Address777 W. POPLAR AVE., SUITE 104Collierville, TN 38017
Mailing Address1992 Highway 51 SCovington, TN 38019-3623 · (901) 476-1820
Fax(901) 221-7913
Sole ProprietorYes
Enumeration DateSeptember 17, 2013
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
NPI 1821424276 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 TN · LPN0000078550
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.

777 W. POPLAR AVE., Collierville, TN 38017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821424276, enumerated as an "individual" on September 17, 2013.

The provider is located at 777 W. POPLAR AVE. SUITE 104 COLLIERVILLE, TN 38017 and the phone number is (901) 221-7175.

Licensed Practical Nurse with taxonomy code 164W00000X.