Individual provider · Type 1 NPI

Jessica Cannon, PA

Surgical Physician Assistant · Omaha, NE

NPI number 1710426549 Active

Practice location

8005 Farnam Dr Ste 305
Omaha, NE 68114-3426

Call (402) 390-4111 Map

Fax (402) 390-4115

Other practice locations

  • 222 N 192nd St, Elkhorn, NE 68022-5363 · (402) 390-4111

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2109 (NE)

Surgical Physician Assistant: Definition to come...

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About NPI 1710426549

Jessica Cannon, PA's National Provider Identifier is 1710426549, issued on Feb 13, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Omaha, NE. The record was last updated on Oct 30, 2025.