Ms. Jennifer N Cannon, NP
Nurse Practitioner, Adult Health in New Haven, Connecticut
1215295407- Practice location
- 20 York St, New Haven, CT 06510-3220
- Phone
- 301-466-3764
- Fax
- —
- Last updated
- April 15, 2024
Jennifer Nicole Cannon is a Nurse Practitioner, Adult Health based in New Haven, CT. Jennifer Nicole Cannon practices in New Haven, CT and has the professional credentials of NP. The NPI Number for Jennifer Nicole Cannon is 1215295407 and holds a License No. 11864 (CT). The current practice location address for Jennifer Nicole Cannon is 20 York St, New Haven, CT 06510-3220 and can be reached out via phone at 301-466-3764.
Provider Profile Details
- NPI Number
- 1215295407
- Provider Name
- Jennifer Nicole Cannon
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 York St, New Haven, CT 06510-3220
- Phone Number
- 301-466-3764
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 25, 2012
- Last Update Date
- April 15, 2024
- Certification Date
- April 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 York St
New Haven, CT 06510-3220 - City
- New Haven
- State
- Connecticut
- Zip
- 06510-3220
- Phone Number
- 301-466-3764
Provider Business Mailing Address Details
- Address
- 21 Grove PT
Westport, CT 06880-6112 - City
- Westport
- State
- CT
- Zip
- 06880-6112
- Phone Number
- 301-466-3764
License Information
- License Number
- 11864
- License State
- CT
- Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Jennifer N Cannon, NP?
The NPI number of Ms. Jennifer N Cannon, NP is 1215295407. It was assigned on April 25, 2012 and is currently active in the NPPES registry.
What is the specialty of Ms. Jennifer N Cannon, NP?
Ms. Jennifer N Cannon, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 11864.
Where does Ms. Jennifer N Cannon, NP practice?
The practice location is 20 York St, New Haven, CT 06510-3220. The office can be reached at 301-466-3764 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215295407 directly on the NPPES registry website.