Cannon, Jennifer

Cannon, Jennifer is an sole proprietor health care provider with primary practice located at 1041 Kirkpatrick Rd Ste 150 , Burlington NC 27215-8068. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Cannon, Jennifer can be contacted via phone (336) 538-1888.

Contact Information

Primary practice address
1041 Kirkpatrick Rd Ste 150 Burlington NC 27215-8068
Phone: (336) 538-1888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 2010-01071 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 2010-01071 North Carolina

Profile Details

NPI number 1356464846
LBN Legal business name Cannon, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Aug 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356464846 NPPES
North Carolina MEDICAID 5914975

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