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Contact Information

JENNIFER CANNON
1431 NURSERY ST
FOGELSVILLE, PA18051-1612
 Phone: 610-336-8277
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JENNIFER CANNON · (Female)

NPI # 1205608239
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2023
Last updated 01/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SP029023
Hospital affiliation(s) Not Available
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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