MEDICARE: JAMAL AARON CANN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0117236	OTHER	OH	QMHS3

General Provider Information

NPI Number	:	1336085323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMAL AARON CANN

Provider Business Mailing Address
First Line	:	5516 MCINTOSH CT
Second Line	:
City	:	WEST CARROLLTON
State	:	OH
Zip	:	45449-2967
Country	:	US
Telephone Number	:	937-814-9681
Fax Number	:

Provider Business Practice Location Address
First Line	:	7229 TAYLORSVILLE RD STE 240
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-2371
Country	:	US
Telephone Number	:	513-338-9429
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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Directions to “ JAMAL AARON CANN ” Practice Location

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