John Clark Cannon in Memphis - Clinical

John Clark Cannon - NPI 1568584514

John Clark Cannon is a Clinical in Memphis, Tennessee. John Clark Cannon practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Clark Cannon is 1568584514. The last update date is 2012-08-07.

John Clark Cannon's current location address is 1030 Jefferson Ave, Memphis, Tennessee. You can contact this provider via phone number 9015238990 and fax number 9015777518. The mailing address for John Clark Cannon is 1030 Jefferson Ave, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name John Clark Cannon
Address 1030 Jefferson Ave, Memphis, Tennessee
Phone Number 9015238990
Fax Number 9015777518
Sole Proprietor N
Credentials LMSW

NPI Number Detail

NPI Number 1568584514
Provider Enumeration Date 2007-04-03
Last Updated Date 2012-08-07

Provider Mailing Address Detail

Address 1030 Jefferson Ave
City Memphis
State Tennessee (TN)
Post Code 381042127
Phone Number 9015238990
Fax Number 9015777518

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about John Clark Cannon

What is the John Clark Cannon's unique identification number?

The John Clark Cannon has been assigned the NPI (National Provider Identifier) Number 1568584514 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where John Clark Cannon is geographically located?

The John Clark Cannon is physically situated at the following location: 1030 Jefferson Ave, Memphis, TN, 381042127.

What is John Clark Cannon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Clark Cannon's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date was the 1568584514 assigned to John Clark Cannon?

The John Clark Cannon was issued its 1568584514 on 2007-04-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding John Clark Cannon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Clark Cannon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-08-07.

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