Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colleen M Canavan, PA

Individual provider Physician Assistant · NPI 1205090644

Colleen M Canavan, PA is a Physician Assistant in Jerseyville, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

390 Maple Summit Rd
Jerseyville, IL 62052-2000
Phone: (618) 498-2101
Fax: (618) 498-8153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085000651 (IL)

Record details

NPI number1205090644
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 15, 2008
Last updated in NPPESSeptember 21, 2016

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