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Ms. Jennifer Nicole Cannon, NP
Adult Health Nurse Practitioner in New Haven, Connecticut
NPI 1215295407

Jennifer Nicole Cannon is an Adult Health Nurse Practitioner based in Westport, CT and is specialized in Adult Health. 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 (Connecticut).

The current practice location address for Jennifer Nicole Cannon is 20 York St, New Haven, CT and can be reached out via phone at 301-466-3764.

Location: 20 York St, New Haven, CT, 06880-6112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, 06880-6112
Phone Number
301-466-3764
Fax Number
Provider Enumeration Date
04/25/2012
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
20 York St
City
New Haven
State
Connecticut
Zip
06510-3220
Phone Number
301-466-3764
Fax Number
person
Provider Business Mailing Address Details
Address
20 York St
City
New Haven
State
Connecticut
Zip
06510-3220
Phone Number
301-466-3764
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
11864 (Connecticut)
Definition
Definition to come...
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