Dr JEAN SUZANNE CANNON is a female medical professional, specializing in Family Medicine. She graduated in 2001.
CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER
2510 CHICKASAW BLVD
ARDMORE
OK
734011341
Tel: 5802268181
| Npi | 1386815421 |
| Pac Id | 5496979023 |
| Professional Enrollment Id | I20160509000396 |
| Last Name | CANNON |
| First Name | JEAN |
| Middle Name | SUZANNE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER |
| Group Practice Pac Id | 8426957523 |
| Number Of Group Practice Members | 191 |
| Line 1 Street Address | 2510 CHICKASAW BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ARDMORE |
| State | OK |
| Zip Code | 734011341 |
| Phone Number | 5802268181 |
| Hospital Affiliation Ccn 1 | 370180 |
| Hospital Affiliation Lbn 1 | CHICKASAW NATION MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 370047 |
| Hospital Affiliation Lbn 2 | MERCY HOSPITAL ARDMORE, INC |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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