JAKE CANNON I, DO

Internal Medicine

Active Individual
NPI: 1447991690

Practice Address

100 E LANCASTER AVE STE B11
Wynnewood, PA 19096

Phone: (484) 476-2658

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Internal Medicine 207R00000X Yes OS024884 (PA)

Frequently Asked Questions

NPI 1447991690 is the National Provider Identifier for JAKE CANNON I, DO, a Internal Medicine provider located in Wynnewood, PA. This NPI was enumerated on April 3, 2022.
JAKE CANNON I, DO practices at 100 E LANCASTER AVE STE B11, Wynnewood, PA 19096.

Quick Facts

NPI
1447991690
Type
Individual
Enumerated
Apr 3, 2022
Last Updated
May 31, 2025

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