JENNIFER CANNELLA PA NPI 1588036347

NPI Information

  • NPI: 1588036347
  • Provider Name: JENNIFER CANNELLA, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1250 PINE RIDGE RD STE 200
    NAPLES, FL
    ZIP 34108
  • Phone: (239) 450-2422

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NPI Details

Jennifer Cannella, PA is a medical physician assistant in Naples, FL with 11 years of experience. Jennifer Cannella, PA NPI is 1588036347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1250 PINE RIDGE RD STE 200
NAPLES, FL
ZIP 34108-913
Phone: (239) 450-2422

The NPI 1588036347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2015 and was last updated on 12/27/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA 9109121FLORIDAYes

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: 11/21/2025

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