Individual
JENNIFER NICOLE GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 DEHLER DR, SARTELL, MN 56377-4407
(320) 845-2157
Mailing address
101 DEHLER DR, SARTELL, MN 56377-4407
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1881
MN
363A00000X
Physician Assistant
Primary
11639
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/05/2007
Last updated
04/25/2025
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