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

MS. Jennifer Nicole Cannon, NP

Individual provider Adult Health Nurse Practitioner · NPI 1215295407

MS. Jennifer Nicole Cannon, NP is a Nurse Practitioner in New Haven, Connecticut. Qualified in 2012, 14 years ago. Practices with Yale University, a 2,618-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
14
Licensed in
CT
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (301) 466-3764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 11864 (CT)

Record details

NPI number1215295407
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 25, 2012
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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