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IndividualActive

Jacquelyn Cannon

Speech-Language Pathologist

NPI: 1225996291Chubbuck, Idaho, 83202(208) 904-1112Female

About Jacquelyn Cannon

Jacquelyn Cannon is a female healthcare professional specializing in Speech-Language Pathologist, registered under National Provider Identifier (NPI) number 1225996291. Their primary practice is located at 240 W BURNSIDE AVE STE D, Chubbuck, Idaho 83202.

Patients can reach the office at (208) 904-1112. Jacquelyn Cannon has been NPI-registered since 2026.

Doctor Details

Identity & Credentials

NPI Number
1225996291
Entity Type
Individual
First Name
Jacquelyn
Last Name
Cannon
Gender
Female
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
240 W BURNSIDE AVE STE D
City
Chubbuck
State
Idaho
ZIP
83202-4703
Country
United States
Phone
(208) 904-1112

Specialty & Taxonomy

Primary Specialty
Speech-Language Pathologist
Classification
Speech-Language Pathologist
Taxonomy Code
235Z00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
240 W BURNSIDE AVE STE D
City
CHUBBUCK
State
ID
ZIP
832024703

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Jacquelyn Cannon's NPI number?
Jacquelyn Cannon's National Provider Identifier (NPI) is 1225996291. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jacquelyn Cannon specialize in?
Jacquelyn Cannon specializes in Speech-Language Pathologist.
Where is Jacquelyn Cannon located?
Jacquelyn Cannon practices at 240 W BURNSIDE AVE STE D, Chubbuck, Idaho 83202. You can reach them by phone at (208) 904-1112.
Does Jacquelyn Cannon accept Medicare?
Based on available data, Jacquelyn Cannon is not currently enrolled in the Medicare program.
Does Jacquelyn Cannon offer telehealth or virtual visits?
Jacquelyn Cannon does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jacquelyn Cannon is 1225996291.