NPI age
3 years
Enumerated 2022-06-13
● Active
Type 1 · Individual
Jared Cannon
Cannon is 1 of 26 registered nurse providers in Boise and 1 of 35 in Idaho.
Primary specialty
Registered Nurse
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 35 active registered nurse providers in Idaho.
NPI age
3 years
≈ at median (3 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-06Enumerated in NPPES
2022
2026
Where they practice
Practice location
960 S Broadway Ave
Boise, ID 837063600
Mailing address
420 N James Rd
Columbus, OH 432191834
Specialties
-
Registered Nurse PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new registered nurse provider has been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.