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Jeremiah Cannon, FNP
Family Nurse Practitioner in Worland, Wyoming
NPI 1629518220

Jeremiah Cannon is a Family Nurse Practitioner based in Worland, WY and is specialized in Family. Jeremiah Cannon practices in Worland, WY and has the professional credentials of FNP. The NPI Number for Jeremiah Cannon is 1629518220 and holds a License No. 25938.1600 (Wyoming).

The current practice location address for Jeremiah Cannon is 1125 Charles Ave, Worland, WY and can be reached out via phone at 307-347-2449 and via fax at 307-864-5226.

Location: 1125 Charles Ave, Worland, WY, 82401-3611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629518220
Provider Name
Jeremiah Cannon
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1125 Charles Ave, Worland, WY, 82401-3611
Phone Number
307-347-2449
Fax Number
307-864-5226
Provider Enumeration Date
03/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1125 Charles Ave
City
Worland
State
Wyoming
Zip
82401-4021
Phone Number
307-347-2449
Fax Number
307-864-5226
person
Provider Business Mailing Address Details
Address
1125 Charles Ave
City
Worland
State
Wyoming
Zip
82401-4021
Phone Number
307-347-2449
Fax Number
307-864-5226
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
25938.1600 (Wyoming)
Definition
Definition to come...
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