Individual
DR. JENNIFER ANNE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3554 ROUND BARN BLVD, SANTA ROSA, CA 95403-0929
(707) 571-3778
Mailing address
3554 ROUND BARN BLVD, SANTA ROSA, CA 95403-0929
(707) 571-3778
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16236
CA
Other
Enumeration date
06/24/2013
Last updated
02/11/2022
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