IndividualActive
Mallisa Cannon
NPI 1497180657 · Licensed Practical Nurse · Novi, MI
Mallisa Cannon is a Licensed Practical Nurse provider in Novi, MI (NPI 1497180657).
Provider details
- NPI number
- 1497180657
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4703111681 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
41621 W 11 Mile Rd
Novi, MI 48375-1804
Phone: (248) 299-0030
Street-level locationGet directions
Mailing address
5051 Buckingham Ave
Detroit, MI 48224-3250
Registry dates
- Enumerated
- 2013-09-06
- Last updated
- 2013-09-06
Frequently asked questions
- What is Mallisa Cannon's NPI number?
- Mallisa Cannon's National Provider Identifier (NPI) is 1497180657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mallisa Cannon's specialty?
- Mallisa Cannon is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Mallisa Cannon located?
- Mallisa Cannon's practice location on file with NPPES is 41621 W 11 Mile Rd, Novi, MI 48375-1804.
- What is Mallisa Cannon's phone number?
- The practice phone number listed in the NPPES registry for Mallisa Cannon is (248) 299-0030.
- Is Mallisa Cannon's NPI active?
- Yes — Mallisa Cannon's NPI (1497180657) is active in the NPPES registry as of the last update on 2013-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.