Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mickey Alan Cannon

Individual provider Family Nurse Practitioner · NPI 1982527131

Mickey Alan Cannon is a Family Nurse Practitioner in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2026.

Licensed in
MS
In the registry since
2026

Practice location Address checks out

1010 W Monroe St Apt 4H
Grenada, MS 38901-5031
Phone: (662) 983-0487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 908516 (MS)

Record details

NPI number1982527131
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 4, 2026
Last updated in NPPESAugust 4, 2026
Certification dateAugust 3, 2026

Other providers in Grenada