Individual
JESSICA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1720 N WESTGATE DR, BOISE, ID 83704-7164
(208) 334-0800
Mailing address
1720 N WESTGATE DR, BOISE, ID 83704-7164
(208) 334-0800
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
45950
ID
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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