| Doctor Name: | MRS. DONNA JEAN CANNON |
| NPI Number: | 1366587008 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., N.P. |
| License Number: | RN032234 |
| Business Practice Address: | 42444 W Blue Suede Shoes Ln Maricopa, AZ - 852392274 |
| Business Phone Number: | 6024329591 |
| Business Fax Number: | 5205682117 |
| Mailing Address: | 42444 W Blue Suede Shoes Ln, MARICOPA |
| State: | AZ |
| Postal Code: | 852392274 |
| Phone Number: | 6024329591 |
| Fax Number: | 5205682117 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | RN032234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |