Gannon, Jennifer S

Gannon, Jennifer S is an individual health care provider with primary practice located at 501 W 7Th St , Frederick MD 21701-4586. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Gannon, Jennifer S can be contacted via phone (301) 663-9573.

Contact Information

Primary practice address
501 W 7Th St Frederick MD 21701-4586
Phone: (301) 663-9573
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0002836 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0002836 Maryland

Profile Details

NPI number 1396703575
LBN Legal business name Gannon, Jennifer S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jan 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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