Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER S GANNON, PA
ActiveJENNIFER S GANNON, PA is a Surgical Physician Assistant healthcare provider located in FREDERICK, Maryland. NPI 1396703575 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FREDERICK, MD
Registration Details
- NPI Number
- 1396703575
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2006 (20.239284586268 yrs)
- Last Updated
- Jan 24, 2020
- Licenses
-
C0002836 (MD)C0002836 (MD)
Practice Information
- Address
-
501 W 7TH STFREDERICK, MD, 217014586Browse MD providers · Browse ZIP 21701
- Phone
- 3016639573
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in FREDERICK, MD
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL D KENNEDY | PA C | 1972599678 |
| ROMMIE NAVYLIA ABELE | PA | 1275792095 |
| LAURA YORK | PAC | 1295250728 |
| JENELLE VIRGINIA CHU | — | 1558096313 |
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.