JARED CANNON
NPI 1114657202
Registered Nurse - Case Management in Boise, ID
About Jared Cannon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARED CANNON (NPI 1114657202) is an individual case management provider in Boise, Idaho, licensed in Idaho (50699) and active in the NPI registry since June 2022.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jared Cannon's NPI number?
The NPI number for Jared Cannon is 1114657202. It was assigned to this individual provider in the NPPES registry on June 13, 2022.
Where is Jared Cannon located?
Jared Cannon practices at 960 S Broadway Ave, Boise, ID 83706. The listed phone number is (208) 780-6255.
What is Jared Cannon's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.
When was this NPI record last updated?
The NPPES record for Jared Cannon was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jared Cannon · NPI 1114657202
Case Management provider in Boise, Idaho. Individual provider, active in the CMS NPPES registry since June 13, 2022.
## Identity
- **NPI:** 1114657202 (Entity type: Individual)
- **Enumerated:** June 13, 2022
- **Primary specialty:** Registered Nurse - Case Management · taxonomy 163WC0400X
- **State license:** 50699 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 960 S BROADWAY AVE, Boise, ID 83706-3600
- **Phone:** (208) 780-6255
## Record status
- **NPPES last updated:** June 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114657202) · Data from the CMS NPPES public registry.