Provider Demographics
NPI:1215651948
Name:CANAPP, JENNIFER LYNNE (AGPCNP-BC, DNP)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYNNE
Last Name:CANAPP
Suffix:
Gender:F
Credentials:AGPCNP-BC, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11315 HOLTER RD
Mailing Address - Street 2:
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-3403
Mailing Address - Country:US
Mailing Address - Phone:410-440-1475
Mailing Address - Fax:
Practice Address - Street 1:11315 HOLTER RD
Practice Address - Street 2:
Practice Address - City:WHITE MARSH
Practice Address - State:MD
Practice Address - Zip Code:21162-3403
Practice Address - Country:US
Practice Address - Phone:410-440-1475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR195887363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology