Individual provider · Type 1 NPI

Jennifer Gannon

Student in an Organized Health Care Education/Training Program · Towson, MD

NPI number 1780121327 Active

Practice location

8000 York Rd, Towson University
Towson, MD 21252-0001

Call (516) 491-1596 Map

Mailing address

200 Central Ave
Lynbrook, NY 11563-1407

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X934859507 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780121327

Jennifer Gannon's National Provider Identifier is 1780121327, issued on Jan 20, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Towson, MD. The record was last updated on Jan 20, 2017.