JENNIFER CANNON (NPI# 1699212779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699212779 |
| Entity Type | Individual |
| Full Name | JENNIFER CANNON |
| Credential | N.P. |
| Practice Address |
380 9th St Florence OR 97439-9470 |
| Mailing Address |
260 Hospital Dr Suite 207 Ukiah CA 95482-4568 |
| Practice Telephone | 5419977134 |
| Practice Fax Number | 5419021320 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 201801167NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 11485 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 260 Hospital Dr Ste 207, Ukiah, CA 954824568 | 7074637627 | |
| 390 9th St, Florence, OR 974399470 | 5419977134 |
| 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 |
| 1528461647 | Jennifer Cannon | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2014-10-02 |
| 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 |
380 9TH ST |
| City | FLORENCE |
| State | OR |
| Zip Code | 97439-9470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043203581 | Sandra Jean Jones | Nurse Practitioner | 380 9th St, Florence, OR 97439-9470 | 2005-08-30 |
| 1821552225 | Lacey Lynn Mills | Nurse Practitioner | 380 9th St, Florence, OR 97439-9470 | 2019-01-30 |
| 1841775855 | Amy Lynn Tensen | Physician Assistant | 380 9th St, Florence, OR 97439-9470 | 2018-09-26 |
| 1487137782 | David Keith Barton | Physician Assistant | 380 9th St, Florence, OR 97439-9470 | 2018-09-12 |
| 1497259725 | Marti Manko | Nurse Practitioner | 380 9th St, Florence, OR 97439-9470 | 2018-03-21 |
| 1073043931 | Allison Renee Mello | Social Worker | 380 9th St, Florence, OR 97439-9470 | 2017-06-14 |
| 1770938912 | Aprill Graham | Nurse Practitioner | 380 9th St, Florence, OR 97439-9470 | 2016-04-25 |
| 1568823482 | Richard Veerman | Family Medicine | 380 9th St, Florence, OR 97439 | 2016-03-20 |
| 1639548555 | Jeffrey Hughes | Physician Assistant | 380 9th St, Florence, OR 97439-9470 | 2015-09-22 |
| 1386986420 | Justine E Parker | Family Medicine | 380 9th St, Florence, OR 97439-9470 | 2013-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586488 | Kelcie-may S Toledo | Pharmacist | 700 Us-101, Florence, OR 97439 | 2020-04-02 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1205266046 | Deborah Lynne Grigsby | Counselor | 1490 1st Street, Unit #1, Florence, OR 97439 | 2013-11-14 |
| 1811247398 | Luke Henry | Occupational Therapist | 1951 East 21st Street, Florence, OR 97439 | 2012-09-12 |
| 1144589102 | Ryan Charles Korando | Denturist | 1705 22nd Street, Florence, OR 97439 | 2012-05-11 |
| 1568728640 | Deborah Lynn Pasternak | Massage Therapist | 1495 8th Street, Suite C, Florence, OR 97439 | 2012-04-03 |
| 1275844185 | Serena Appel | Counselor | 1525 12th St Ste 8, Florence, OR 97439 | 2010-06-24 |
| 1669702056 | Monarch Medical Group LLC | Clinic/Center | 2775 Hwy 101, Suite B, Florence, OR 97439 | 2010-01-06 |
| 1871722231 | Aen Brauer | Social Worker | 1445 W 8th St, Florence, OR 97439 | 2009-07-07 |
| Find all providers in zip 97439 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467038 | Marcus Tedder | Nurse Practitioner | 1005 E Cheves St Ste 100, Florence, SC 29506-2707 | 2020-08-17 |
| 1508498015 | Jessy Krallum | Nurse Practitioner | 731 Coventry Ln Apt A, Florence, SC 29501-8867 | 2020-02-12 |
| 1689175408 | Machelle Speicher Smith | Nurse Practitioner | 4213 Byrnes Blvd, Florence, SC 29506-8335 | 2018-02-27 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1528316726 | Tri-state Pain Management Service Inc | Nurse Practitioner | 7370 Turfway Rd Ste 290, Florence, KY 41042-4896 | 2012-08-17 |
| 1780963066 | Rebecca Jane Ferguson | Nurse Practitioner | 2908 Mall Drive, Florence, AL 35630-1534 | 2011-08-04 |
| 1356645394 | Sonia Marie Campbell | Nurse Practitioner | 2268 Blass Dr, Florence, SC 29505-6479 | 2011-01-05 |
| Find all providers in FLORENCE | ||||
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| 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.