Individual
MS. JESSICA LEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
601 W SAVIDGE ST, SPRING LAKE, MI 49456-1620
(231) 672-3100
Mailing address
1356 OAKLEA AVE, MUSKEGON, MI 49442-4333
(231) 903-9607
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704304495
MI
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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