Gannon, Jennifer Nicole

Gannon, Jennifer Nicole is an individual health care provider with primary practice located at 101 Dehler Dr , Sartell MN 56377-4407. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gannon, Jennifer Nicole can be contacted via phone (320) 845-2157.

Contact Information

Primary practice address
101 Dehler Dr Sartell MN 56377-4407
Phone: (320) 845-2157
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11639 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1881 Minnesota

Profile Details

NPI number 1447308770
LBN Legal business name Gannon, Jennifer Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Sep 25th, 2023 - about last year

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.

Request for update

Popular Providers