JEAN S. CANNON M.D. – NPI #1386815421
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

JEAN CANNON is a physician located in ARDMORE, OK. NPPES has assigned the NPI number 1386815421 to JEAN CANNON on March 17, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 10 years ago on Sep 08, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEAN CANNON below.

NPI Profile for
JEAN S. CANNON

NPI Number
1386815421
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JEAN S. CANNON
Credentials
M.D.
Primary location
2510 CHICKASAW BLVD
ARDMORE, OK 73401
Phone: (580) 226-8181 Fax: (580) 223-4761
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
OK 25555

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.