Organization
COLLABORATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CANNON NP-C (OWNER)
(860) 935-6680
Entity
Organization
Contact information
Practice address
166 ALBANY TPKE STE 7, CANTON, CT 06019-2546
(860) 935-6680
(860) 359-3701
Mailing address
78 PINE HILL RD, BURLINGTON, CT 06013-2303
(203) 444-0436
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
05/22/2025
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