Jackie Lynn Cannon, LPN is a
Licensed Practical Nurse based in Jeffersonville, Ohio. Jackie Lynn Cannon is licensed to practice in Ohio (license number P.N 144265) and her current practice location is
11226 Prairie Rd, Jeffersonville, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 463-2526.
NPI number for Jackie Lynn Cannon is 1144576273 and her current mailing address is 11226 Prairie Rd, Jeffersonville, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144576273.
Provider's Profile
Full Name | Jackie Lynn Cannon |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 11226 Prairie Rd, Jeffersonville, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144576273
- Provider Enumeration Date: 07/26/2012
- Last Update Date: 07/26/2012
Medical Identifiers
Medical identifiers for Jackie Lynn Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144576273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | P.N 144265 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Lynn Cannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jackie Lynn Cannon, LPN 11226 Prairie Rd, Jeffersonville, OH 43128-9713 Ph: (740) 463-2526 | Jackie Lynn Cannon, LPN 11226 Prairie Rd, Jeffersonville, OH 43128-9713 Ph: (740) 463-2526 |
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