Jennifer Sue Canon, FNP-C
Nurse Practitioner, Family in Weatherford, TX. Individual provider (NPI-1).
NPI number1326811902
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1326811902
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Sue Canon
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2023
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1169104 | TX | Yes |
| 363LF0000X | Nurse Practitioner, Family | 117841 | WV |
Practice location
3951 Greenwood RdWeatherford, TX 76088-7618
Phone 304-670-6252
Mailing address
3951 Greenwood RdWeatherford, TX 76088-7618
Phone 304-670-6252
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