NPI 1942863154

Jennifer Cannon, MD

Practitioner Surgery Physician Agana Heights, GU

Practice location

Address: Bldg 50, Farenholt Avenue, Agana Heights, GU 96910
Phone: (671) 344-9340
Mailing address: Psc 455 Box 208, Fpo, AP 96540-0003

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 1942863154 (VA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1942863154
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2019
Record last updated: 5 Jun 2024

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.