Jared Cannon

NPI #1114657202 in Boise, Idaho

Provider Information

NPI Number
1114657202
Entity Type
Individual
Name
Jared Cannon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Case Management
Enumeration Date
Jun 13, 2022
Last Updated
Jun 13, 2022

Practice Location

Address
960 S BROADWAY AVE
City
Boise
State
Idaho
ZIP Code
83706-3600
Phone
(208) 780-6255

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Case ManagementCase Management

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