Individual
MS. JENNIFER NICOLE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(301) 466-3764
Mailing address
21 GROVE PT, WESTPORT, CT 06880-6112
(301) 466-3764
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11864
CT
Other
Enumeration date
04/25/2012
Last updated
04/15/2024
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