Individual
JENNIFER ANNE CANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD-E, MSPA-C
Contact information
Practice address
2200 ST LUKES BLVD STE 201, EASTON, PA 18045-5665
(484) 503-0060
Mailing address
2200 ST LUKES BLVD, EASTON, PA 18045-5665
(484) 503-0060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051619
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA051619
PENNSYLVANIA PHYSICIAN ASSISTANT LICENSE
PA
Enumeration date
05/29/2018
Last updated
03/11/2026
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