Mrs. Jennifer Cannon, APRN
Nurse Practitioner, Family in Canton, Connecticut
1528461647- Practice location
- 166 Albany Tpke Ste 7, Canton, CT 06019-2546
- Phone
- 860-935-6680
- Fax
- —
- Last updated
- April 18, 2023
Jennifer Cannon is a Nurse Practitioner, Family based in Canton, CT. Jennifer Cannon practices in Canton, CT and has the professional credentials of APRN. The NPI Number for Jennifer Cannon is 1528461647 and holds a License No. 5902 (CT). The current practice location address for Jennifer Cannon is 166 Albany Tpke Ste 7, Canton, CT 06019-2546 and can be reached out via phone at 860-935-6680.
Provider Profile Details
- NPI Number
- 1528461647
- Provider Name
- Jennifer Cannon
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 166 Albany Tpke Ste 7, Canton, CT 06019-2546
- Phone Number
- 860-935-6680
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 2, 2014
- Last Update Date
- April 18, 2023
- Certification Date
- April 18, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 166 Albany Tpke Ste 7
Canton, CT 06019-2546 - City
- Canton
- State
- Connecticut
- Zip
- 06019-2546
- Phone Number
- 860-935-6680
Provider Business Mailing Address Details
- Address
- 166 Albany Tpke Ste 7
Canton, CT 06019-2546 - City
- Canton
- State
- CT
- Zip
- 06019-2546
- Phone Number
- 860-935-6680
License Information
- License Number (1)
- 5902
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- 005902
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X
- License Number (3)
- 5902
- License State (3)
- CT
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Canton, CT
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Frequently Asked Questions
What is the NPI number of Mrs. Jennifer Cannon, APRN?
The NPI number of Mrs. Jennifer Cannon, APRN is 1528461647. It was assigned on October 2, 2014 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jennifer Cannon, APRN?
Mrs. Jennifer Cannon, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 5902.
Where does Mrs. Jennifer Cannon, APRN practice?
The practice location is 166 Albany Tpke Ste 7, Canton, CT 06019-2546. The office can be reached at 860-935-6680 (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 1528461647 directly on the NPPES registry website.