Individual
MS. JACQUELYN DANETTE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11513 N MAIN ST, JACKSONVILLE, FL 32218-4002
(855) 674-7400
(904) 730-1037
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN
NH
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9169833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031120-00
—
FL
05
—
580304754A
—
GA
01
—
ARNP9169833
FLORIDA BOARD OF NUSING LICENSE #
FL
Enumeration date
04/22/2008
Last updated
08/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us