Jennifer Cannon in Winston Salem - Surgical Critical Care
Jennifer Cannon - NPI 1356464846
Jennifer Cannon is a Surgical Critical Care in Winston Salem, North Carolina. Jennifer Cannon practices all healthcare services and medical treatments related to Surgical Critical Care. The NPI Number for Jennifer Cannon is 1356464846. The last update date is 2021-08-17.
Jennifer Cannon's current location address is 100 Kimel Forest Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3367162255 and fax number 3367166637. The mailing address for Jennifer Cannon is 100 Kimel Forest Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Cannon |
|---|---|
| Address | 100 Kimel Forest Dr, Winston Salem, North Carolina |
| Phone Number | 3367162255 |
| Fax Number | 3367166637 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1356464846 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2021-08-17 |
Provider Mailing Address Detail
| Address | 100 Kimel Forest Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271036074 |
| Phone Number | 3367162255 |
| Fax Number | 3367166637 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical Critical Care |
|---|---|
| Taxonomy | 2086S0102X |
| Licence No | 2010-01071 |
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Definition: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5914975 | NC | -- |
Post Comment/ Review Below
What is the Jennifer Cannon's 1356464846?
The Jennifer Cannon's NPI (National Provider Identifier) Number is 1356464846. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jennifer Cannon located?
The Jennifer Cannon is located at 100 Kimel Forest Dr, Winston Salem, NC 271036074.
What is Jennifer Cannon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jennifer Cannon's specialized field of practice is Surgical Critical Care, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0102X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356464846 to Jennifer Cannon?
The Centers for Medicare & Medicaid Services assigned the 1356464846 to Jennifer Cannon on 2007-04-09.
As of what date was the information regarding Jennifer Cannon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Cannon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-08-17.
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