| Doctor Name: | DR. SHEILA NANNETTE CANNON |
| NPI Number: | 1003859158 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS-APRN-BC |
| License Number: | 271878 |
| Business Practice Address: | 209 Quincy St Brockton, MA - 023022926 |
| Business Phone Number: | 5085842291 |
| Business Fax Number: | |
| Mailing Address: | 399 Pleasant St Unit B, STOUGHTON |
| State: | MA |
| Postal Code: | 020722551 |
| Phone Number: | 7814365258 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 10/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 271878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |