Provider Demographics
NPI:1124733050
Name:CANNONE, ADRIANNA MARIA (PA-C)
Entity type:Individual
Prefix:MISS
First Name:ADRIANNA
Middle Name:MARIA
Last Name:CANNONE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:40 W CALDWELL ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-3180
Mailing Address - Country:US
Mailing Address - Phone:615-773-2712
Mailing Address - Fax:615-773-2707
Practice Address - Street 1:40 W CALDWELL ST STE 100
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3180
Practice Address - Country:US
Practice Address - Phone:615-773-2712
Practice Address - Fax:615-773-2707
Is Sole Proprietor?:No
Enumeration Date:2023-01-16
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN5383363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty