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

Individual provider Physician Assistant · NPI 1083659189

Jennifer Kannan, PA-C is a Physician Assistant in Fairfax, Virginia. Qualified in 2005, 21 years ago. Practices with Fair Oaks Hospitalist Physicians, PLLC, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Virginia.

Years since qualifying
21
Licensed in
MA, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone: (703) 391-3558
Fax: (703) 391-3441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Hospital Dr, Warrenton, VA 20186-3027 — (540) 316-5000

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 0110005279 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 0110005279 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA3744 (MA)

Record details

NPI number1083659189
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Fair Oaks Hospitalist Physicians, Pllc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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