Jessica Cannon
Registered Nurse, Emergency in Evansville, IN. Individual provider (NPI-1).
NPI number1245049352
StatusActive
Last updated in NPPESJan 3, 2025
Details
- NPI
- 1245049352
- Entity type
- Individual (NPI-1)
- Name
- Jessica Cannon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2025
- Certification date
- Jan 3, 2025
- Last updated
- Jan 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WE0003X | Registered Nurse, Emergency | 28179132A | IN | Yes |
Practice location
600 Mary StEvansville, IN 47710-1674
Phone 812-842-2379
Mailing address
8238 Pelican Pointe DrEvansville, IN 47725-8987
Phone 812-550-8751
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Emergency Registered Nurse providers in Evansville · All 5,513 providers in Evansville
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