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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JARED CANNON

Active

Case Management Nurse · BOISE, ID

Registration Details

NPI Number
1114657202
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2022 (3.8553344977472 yrs)
Last Updated
Jun 13, 2022
License
50699 (ID)

Practice Information

Address
960 S BROADWAY AVE
BOISE, ID, 837063600
Browse ID providers · Browse ZIP 83706
Phone
2087806255
Primary Specialty
Case Management Nurse
163WC0400X

Other Case Management Nurse Providers in BOISE, ID

Name Credential NPI
MS. MARY K STEWART RN 1053530477
SHANNON HAYES RN 1699144253
JODI LEWIS RN 1437528007
DIANE ATKINSON RN 1710357371
MRS. ANGELICA C GUMB BSN RN 1215307418
MS. LISA MARCONI R.N. 1922541515
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.