NPI 1114895521

John-Charles Cannon, BS

Practitioner Community Health Worker Ammon, ID

Practice location

Address: 1675 Curlew Dr, Ammon, ID 83406-4718
Phone: (208) 523-5319
Fax: (208) 523-5627
Mailing address: PO Box 2106, Idaho Falls, ID 83403-2106

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Idaho →

Registry record

NPI: 1114895521
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2025
Record last updated: 27 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.