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JENNIFER C CANNON DO PLLC NPI 1538692645


NPI Information

NPI: 1538692645
Provider Name: JENNIFER C CANNON, DO, PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
4611 E PALO VERDE DR
PHOENIX, AZ
ZIP 85018
Phone: (480) 544-2599
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JENNIFER C CANNON, DO, PLLC is an obstetrics gynecology in Phoenix, AZ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JENNIFER C CANNON, DO, PLLC NPI is 1538692645. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4611 E PALO VERDE DR
PHOENIX, AZ
ZIP 85018-258
Phone: (480) 544-2599
Fax: (602) 840-1290

The provider's authorized official is Jennifer C Cannon .
The authorized official title is Owner/member Manager and has the following contact phone number (480) 544-2599.

The enumeration date for this NPI number is 4/5/2017 and was last updated on 4/5/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology7114ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P-2167485-1OTHERARIZONAARIZONA CORPORATION #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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