MRS. JENNIFER CANNON (NPI# 1528461647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528461647 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER CANNON |
| Credential | APRN |
| Practice Address |
100 Grand St New Britain CT 06052-2016 |
| Practice Telephone | 8602245011 |
| Mailing Telephone | 8602245011 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2016-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 5902 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
005902 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515238 | Jennifer Cannon | Peer Specialist | 26110 White Sage Cove Ln, Spring, TX 77386-3944 | 2020-10-09 |
| 1225462039 | Jennifer Lynn Cannon | Chore Provider | 201 Nc 54, Apt 605, Carrboro, NC 27510-1600 | 2013-08-28 |
| 1104127869 | Jennifer Anne Nibley Cannon | Psychologist | 796 E Pacific Dr Ste B, American Fork, UT 84003-3161 | 2010-11-11 |
| 1093822157 | Jennifer Cannon | Physical Therapist | 5920 S Estes St Ste 100, Littleton, CO 80123-8619 | 2006-08-24 |
| 1598326928 | Jennifer Leigh Cannon | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2019-06-26 |
| 1942863154 | Jennifer Cannon | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2019-04-15 |
| 1699212779 | Jennifer Cannon | Nurse Practitioner | 380 9th St, Florence, OR 97439-9470 | 2017-01-26 |
| 1861831711 | Jennifer Anne Cannon | Psychiatry & Neurology | 1020 Sansom St Ste 1652, Philadelphia, PA 19107-5002 | 2013-06-24 |
| 1750725008 | Jennifer Leigh Cannon | Nurse Practitioner | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 | 2013-04-17 |
| 1487996930 | Jennifer C Cannon | Obstetrics & Gynecology | 221 Michigan St Ne Ste 600, Grand Rapids, MI 49503 | 2013-03-22 |
| Street Address |
100 GRAND ST |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526784 | Kathryn W Tierney | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2005-05-27 |
| 1528674629 | Alicja Jedrychowski | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-09-23 |
| 1366050411 | Casey Aivano | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-07-15 |
| 1689297418 | Amanda Catherine Ehresman | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2020-05-27 |
| 1679194633 | Zachary Russo | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-30 |
| 1912526765 | Cristina Melinda Decrosta | Social Worker | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-13 |
| 1467071696 | Natali R Senocak | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-08 |
| 1346879608 | Najwan Augustin | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| 1346879616 | Christopher J Dipollina | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| 1861021263 | Rosanne M Zandvliet | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604905 | Lynn Fazzino | Physical Therapist | Cora, 136 West Main St, New Britain, CT 06052 | 2020-03-18 |
| 1265927826 | Marie Susie Gustin | Psychologist | 365 Shuttle Meadow Ave, New Britain, CT 06052 | 2018-06-26 |
| 1942711718 | Ashley R Stevens | Nurse Practitioner | 22 Cedar St., New Britain, CT 06052 | 2017-10-19 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1417483165 | Liberty Integrated Behavioral Health, LLC | Nurse Practitioner | 18 Hart St., New Britain, CT 06052 | 2017-05-02 |
| 1518233022 | Kristy Messier | Counselor | 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 | 2012-03-29 |
| 1629374178 | Liberty Healthcare, LLC | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2011-02-01 |
| 1528207800 | Colleen M Picone | Social Worker | 55 Winthrop Street, New Britain, CT 06052 | 2009-02-11 |
| 1902073166 | Joseph Paladino | Durable Medical Equipment & Medical Supplies | 39 Brooklawn St, New Britain, CT 06052 | 2008-05-15 |
| 1861667768 | Elizabeth Kartsen | Audiologist | 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 | 2008-04-23 |
| Find all providers in zip 06052 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588154363 | Evelyn Boateng | Nurse Practitioner | 200 John Downey Dr, New Britain, CT 06051-2904 | 2018-05-16 |
| 1780045575 | Courtney Dale Donarum | Nurse Practitioner | One Lake Sreet, Suite 202, 3rd Floor, New Britain, CT 06052-1396 | 2016-03-08 |
| 1942295332 | Gail M Frahm | Nurse Practitioner | 1 Liberty Sq, Second Floor, New Britain, CT 06051-2637 | 2005-09-13 |
| 1396741435 | Jean M Palin | Nurse Practitioner | 110 Mill Street, Sbhc - New Britain High School, New Britain, CT 06052 | 2005-06-23 |
| 1174526784 | Kathryn W Tierney | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2005-05-27 |
| 1366050411 | Casey Aivano | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-07-15 |
| 1891340121 | Catherine Elizabeth Militello Youngstrom | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2019-08-05 |
| 1407418767 | Joanna Hope Bledsoe | Nurse Practitioner | 85 Lafayette St, New Britain, CT 06051-1803 | 2019-07-07 |
| 1437624087 | Amanda Grasso | Nurse Practitioner | 75 N Mountain Rd, New Britain, CT 06053-3468 | 2018-10-10 |
| 1649750282 | Gabrielle Elizabeth Schiavone | Nurse Practitioner | 85 Lafayette St, New Britain, CT 06051 | 2018-08-14 |
| Find all providers in NEW BRITAIN | ||||
| City | NEW BRITAIN |
| Zip Code | 06052 |
Please comment or provide details below to improve the information on MRS. JENNIFER CANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.