Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn Cannon

Individual provider Speech-Language Pathologist · NPI 1225996291

Jacquelyn Cannon is a Speech-Language Pathologist in Chubbuck, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

240 W Burnside Ave Ste D
Chubbuck, ID 83202-4703
Phone: (208) 904-1112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5071179 (ID)

Record details

NPI number1225996291
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Other providers in Chubbuck