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

Individual provider Psychiatry Physician · NPI 1861831711

Dr. Jennifer Anne Cannon, DO is a Psychiatry in Santa Rosa, California. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2013, 13 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
CA
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3554 Round Barn Blvd
Santa Rosa, CA 95403-0929
Phone: (707) 571-3778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 16236 (CA)

Record details

NPI number1861831711
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 24, 2013
Last updated in NPPESFebruary 11, 2022
Certification dateDecember 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2013 (13 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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