Individual provider · Type 1 NPI

Jennifer Cannon, N.P.

Nurse Practitioner · Florence, OR

NPI number 1699212779 Active

Practice location

380 9th St
Florence, OR 97439-9470

Fax (541) 902-1320

Mailing address

260 Hospital Dr, Suite 207
Ukiah, CA 95482-4568

Other practice locations

  • 390 9th St, Florence, OR 97439-9470 · (541) 997-7134
  • 260 Hospital Dr Ste 207, Ukiah, CA 95482-4568 · (707) 463-7627
  • 320 Sunnyview Ln, Kalispell, MT 59901-3129 · (406) 756-3526

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X11485 (CA)
Nurse Practitioner 363L00000X201801167NP-PP (OR)
Nurse Practitioner Primary 363L00000XNUR-APRN-LIC-180218 (MT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1699212779

Jennifer Cannon, N.P.'s National Provider Identifier is 1699212779, issued on Jan 26, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Florence, OR. The record was last updated on Apr 18, 2025.