Individual provider · Type 1 NPI

Jennifer Nicole Gannon, PA-C

Physician Assistant · Sartell, MN

NPI number 1447308770 Active

Practice location

101 Dehler Dr
Sartell, MN 56377-4407

Call (320) 845-2157 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X1881 (MN)
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X11639 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1447308770

Jennifer Nicole Gannon, PA-C's National Provider Identifier is 1447308770, issued on Jan 5, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sartell, MN. The record was last updated on Apr 25, 2025.