Cannon, Jennifer Rena

Cannon, Jennifer Rena is an individual health care provider with primary practice located at 330 Hospital Dr Bldg C, Ste 200, Macon GA 31217-3899. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cannon, Jennifer Rena can be contacted via phone (478) 745-1191.

Contact Information

Primary practice address
330 Hospital Dr Bldg C, Ste 200 Macon GA 31217-3899
Phone: (478) 745-1191
Fax: (478) 752-3869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003040 Georgia

Profile Details

NPI number 1982651246
LBN Legal business name Cannon, Jennifer Rena
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Dec 16th, 2009 - about 17 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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