Individual
JENNIFER CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1431 NURSERY ST, FOGELSVILLE, PA 18051-1612
(610) 336-8277
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP029023
PA
Other
Enumeration date
10/24/2023
Last updated
01/09/2024
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