Individual
JORDAN CANNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3211 PROVIDENCE DR # RH116, ANCHORAGE, AK 99508-4614
(907) 786-4040
Mailing address
3211 PROVIDENCE DR # RH116, ANCHORAGE, AK 99508-4614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
198239
AK
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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