Individual
JOCELYN R CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 MILLERTON AVE APT 2313, CHARLOTTE, NC 28208-5110
(312) 661-6663
Mailing address
2016 MILLERTON AVE APT 2313, CHARLOTTE, NC 28208-5110
(312) 661-6663
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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