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

Jacquelyn Cannon

Individual provider Speech-Language Pathologist · NPI 1225996291

Jacquelyn Cannon is a Speech-Language Pathologist in Chubbuck, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

240 W Burnside Ave Ste D
Chubbuck, ID 83202-4703
Phone: (208) 904-1112
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5071179 (ID)

Record details

NPI number1225996291
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address240 W Burnside Ave Ste D, Chubbuck, ID 83202-4703

Other providers in Chubbuck