JENNIFER S GANNON

FREDERICK, MD
NPI1396703575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MD  C0002836)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: MD  C0002836)
Enumeration Date2006-05-03
Last Update Date2020-01-24
Business Address
JENNIFER S GANNON PA
501 W 7TH ST
FREDERICK, MD 21701-4586
Phone number: 301-663-9573
Mailing Address
JENNIFER S GANNON PA
PO BOX 37086
BALTIMORE, MD 21297-3086
Phone number: 240-439-8812