John-Charles Cannon, BS

NPI #1114895521 in Ammon, Idaho

Provider Information

NPI Number: 1114895521
Entity Type: Individual
Name: John-Charles Cannon, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: BS
Enumeration Date: Oct 27, 2025
Last Updated: Oct 27, 2025

Practice Location

Address: 1675 CURLEW DR
City: Ammon
State: Idaho
ZIP Code: 83406-4718
Phone: (208) 523-5319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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