Individual provider · Type 1 NPI

Jennifer Nicole Cannon, NP

Adult Health Nurse Practitioner · New Haven, CT

NPI number 1215295407 Active

Practice location

20 York St
New Haven, CT 06510-3220

Mailing address

21 Grove Pt
Westport, CT 06880-6112

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X11864 (CT)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1215295407

Jennifer Nicole Cannon, NP's National Provider Identifier is 1215295407, issued on Apr 25, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New Haven, CT. The record was last updated on Apr 15, 2024.