Organization
ANDERSON HEALTHCARE MASTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA ANDERSON DNP (APRN)
(904) 909-1227
Entity
Organization
Contact information
Practice address
3390 KORI RD, JACKSONVILLE, FL 32257-2419
(904) 638-3511
Mailing address
7643 GATE PKWY STE 104-523, JACKSONVILLE, FL 32256-3092
(904) 253-3492
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
03/04/2024
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