Individual
JESSICA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47710-1674
(812) 842-2379
Mailing address
8238 PELICAN POINTE DR, EVANSVILLE, IN 47725-8987
(812) 550-8751
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28179132A
IN
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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