National Provider Identifier Database

JESSICA D DURST CANNON, DO – NPI #1417107806
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

JESSICA D DURST CANNON, DO
1920 MALVERN AVE
HOT SPRINGS, AR71901-7752
Phone: 801-321-1314
Fax: 501-321-1810
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for JESSICA D DURST CANNON

NPI Number 1417107806
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/23/2008
Last updated 12/09/2016 - About 9 years ago
Sole proprietor1 No
Identifiers
  • AR License #: E-9592
  • VA License #: 0102203494
  • AR Medicaid: 212848003
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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