Cannon, Jessica A

Cannon, Jessica A is an individual health care provider with primary practice located at 400 Palmetto Health Pkwy , Columbia SC 29212-1760. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Cannon, Jessica A can be contacted via phone (803) 434-6771.

Contact Information

Primary practice address
400 Palmetto Health Pkwy Columbia SC 29212-1760
Phone: (803) 434-6771
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1914 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1914 South Carolina

Profile Details

NPI number 1679586028
LBN Legal business name Cannon, Jessica A
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jan 26th, 2021 - about 4 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 1679586028 NPPES
South Carolina MEDICAID NP1514

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