Jennifer Cannon
Surgeon Surgical Critical Care
1041 Kirkpatrick Rd Ste 150
Burlington
, North Carolina 27215-8068
Jennifer Cannon
Surgeon Surgical Critical Care
1041 Kirkpatrick Rd Ste 150
Burlington
, North Carolina 27215-8068
(336) 716-6637
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Jennifer Cannon
- 100 Kimel Forest Dr
- Winston Salem, NC
- Zip : 27103-6074
- Fax : (336) 716-6637
- Phone : (336) 716-2255
Second Address
- Jennifer Cannon
- 1041 Kirkpatrick Rd Ste 150
- Burlington, NC
- Zip : 27215-8068
- Phone : (336) 538-1888
Reviews
FAQs
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What type of doctor is Jennifer Cannon
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 2010-01071 | NC |
| Y | 208600000X | Surgeon | 2010-01071 | NC |
| N | 2086S0102X | Surgical Critical Care | 2010-01071 | NC |
National Provider Identifier
| NPI | 1356464846 |
|---|---|
| Provider Name | Jennifer Cannon |
| First Address | Winston Salem, NC 27103-6074 |
| Second Address | Burlington, NC 27215-8068 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2007 |
| Last Update Date | 17/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5914975 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.