Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN CANNON
Active Sole ProprietorJACQUELYN CANNON is a Speech, Language and Hearing Specialist healthcare provider located in CHUBBUCK, Idaho. NPI 1225996291 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · CHUBBUCK, ID
Registration Details
- NPI Number
- 1225996291
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2026 (0.59221825117168 yrs)
- Last Updated
- Jan 9, 2026
- License
-
5071179 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
240 W BURNSIDE AVE STE DCHUBBUCK, ID, 832024703Browse ID providers · Browse ZIP 83202
- Phone
- 2089041112
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in CHUBBUCK, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. KRISTA BUZZELL RUDD | CCC-SLP | 1730489436 |
| BRANDY LYNN GILEA | MS-SLP | 1053610469 |
| ELIZABETH B RENZELLO | SLP | 1598047755 |
| CASEY ULRICH | M.S.CCC-SLP | 1073959441 |
| SABRINA BUNNEY | M.S., CCC-SLP | 1427475003 |
| AMBER ROMRIELL | M.S. CCC- SLP | 1194356329 |
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.