Jennifer Sue Canon, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1169104 Issued in TX

Practice address

3951 Greenwood Rd
Weatherford, TX 76088-7618

Phone

(304) 670-6252

NPI assigned

Nov 6, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jennifer.canon.1@31783.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1326811902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 GREENWOOD RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760887618",
            "telephone_number": "304-670-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 GREENWOOD RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760887618",
            "telephone_number": "304-670-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANON",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "117841",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1169104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Danielle Butler
• Phyllis Jane Butler, PTA ASSOCIATE
• Jaclyn Butterworth, M.S.
• Debra Mulloy Caldwell
• Kendall Campbell, M.S./CCC-SLP
• Amber O Cantu
• Savannah Carbon
• Morgan Leann Carmichael, MA, LPC-A
• Kimberlee J Carpenter-McKinnerney, M.A., LPC
• April Carpenter, M.A., LPC

• Family Nurse Practitioner in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.