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

Mr. Jacob Harrison Cannon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194440750

Mr. Jacob Harrison Cannon is a Student in an Organized Health Care Education/Training Program in Clinton, South Carolina. Licensed in South Carolina. Registered with an NPI since 2022.

Licensed in
SC
In the registry since
2022

Practice location Address checks out

194 Jacobs Hwy
Clinton, SC 29325-7276
Phone: (864) 833-5000
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 50482 (SC)

Record details

NPI number1194440750
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2022
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

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