Jared Cannon
Jared Cannon is a Case Management Registered Nurse in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2022.
- Licensed in
- ID
- In the registry since
- 2022
Practice location Address checks out
960 S Broadway AveBoise, ID 83706-3600
Phone: (208) 780-6255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Registered Nurse (primary) | Taxonomy 163WC0400X · Licence 50699 (ID) |
|---|
Record details
| NPI number | 1114657202 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 13, 2022 |
| Last updated in NPPES | June 13, 2022 |
| Certification date | June 13, 2022 |
| Mailing address | 420 N James Rd, Columbus, OH 43219-1834 |
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Jessica L Anderson, RN
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Lori Berrey
960 S Broadway Ave, Boise, ID 83706-3600 · (208) 780-6290
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