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Individual
JENNIFER ROSE ANDERSON
Active
Individual
JENNIFER ROSE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRRN, CDE, CLNC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60270142
WA
163WR0400X
Rehabilitation Registered Nurse
725156
CA
163WR0400X
Rehabilitation Registered Nurse
Primary
RN243066
GA
163WR0400X
Rehabilitation Registered Nurse
RN58436
NV
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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