MR. JERMAINE CANNON (NPI# 1790396703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790396703 |
Entity Type | Individual |
Full Name | MR. JERMAINE CANNON |
Credential | LMT |
Practice Address |
1 Murphy Rd Wilmington DE 19803-3044 |
Mailing Address |
24 Nicole Ct New Castle DE 19720-3762 |
Practice Telephone | 3025434004 |
Mailing Telephone | 3023775838 |
Enumeration Date | 2020-08-13 |
Last Update Date | 2020-08-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | MT-0003237 | DE | Other Service Providers |
Street Address |
1 MURPHY RD |
City | WILMINGTON |
State | DE |
Zip Code | 19803-3044 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
1477117554 | Antanoid John Langeveldt | Student in an Organized Health Care Education/Training Program | 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 | 2019-04-24 |
1043791817 | Ronald Mcdonald House of Delaware Inc. | Meals | 1901 Rockland Rd, Wilmington, DE 19803 | 2018-08-28 |
1316312754 | Wellspring Emotional Health, LLC | Social Worker | 910 Foulk Rd, Suite 200, Wilmington, DE 19803 | 2015-12-10 |
1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
1972922870 | Jennifer Lynne Carite | Emergency Medicine | 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 | 2014-04-08 |
1285938712 | Howard Wilk | Family Medicine | 18 Stone Tower Lane, Wilmington, DE 19803 | 2010-12-23 |
1568691905 | Kyle Phillips | Registered Nurse | 410 Foulk Road, Suite 100, Wilmington, DE 19803 | 2009-07-07 |
Find all providers in zip 19803 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467986778 | Sharrie Hanley | Specialist | 4701 Wrightsville Ave Bldg 1e2, Wilmington, NC 28403-6912 | 2017-04-13 |
1952843948 | Beyond Basics Salons Inc | Specialist | 1124 Floral Pkwy, Wilmington, NC 28403-6212 | 2016-11-08 |
1225586324 | Yay Ot 4 Kids, LLC | Specialist | 305 N 15th St, Wilmington, NC 28401-3813 | 2016-09-17 |
1053869511 | Kay Eileen Shoemaker | Specialist | 107 Florence Ave, Wilmington, DE 19803-2337 | 2016-09-13 |
1487000758 | Vamano Inc | Specialist | 5231 W Woodmill Dr, Suite 45, Wilmington, DE 19808-4068 | 2016-05-05 |
1689031262 | Ivps of Delaware | Specialist | 1305 Kirkwood Highway, Wilmington, DE 19805 | 2016-01-27 |
1548646490 | Delvalley Healthcare LLC | Specialist | 2055 Limestone Rd Ste 201, Wilmington, DE 19808-5536 | 2015-08-03 |
1194123117 | Bharat Shah | Specialist | 166 Landis Way N, Wilmington, DE 19803-6408 | 2014-12-08 |
1477955748 | Amberly Tokoly | Specialist | 1717 Shipyard Blvd Ste 320, Wilmington, NC 28403-8019 | 2014-09-18 |
1144657917 | Gretchen Mcdonnell | Specialist | 6 Stone Hill Rd, Wilmington, DE 19803-4411 | 2013-10-10 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 19803 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.