MR. JERMAINE CANNON


Address: 1 Murphy Rd, Wilmington, DE 19803-3044
Phone: 3025434004

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MT-0003237 DE Other Service Providers

Office Location

Street Address 1 MURPHY RD
City WILMINGTON
State DE
Zip Code 19803-3044

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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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City WILMINGTON
Zip Code 19803

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Dataset Information

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.

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