Individual
JESSICA LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
320 RIVER PARK DR STE 255, PROVO, UT 84604-6065
(801) 616-3675
Mailing address
212 E CROSSROADS BLVD # 148, SARATOGA SPRINGS, UT 84045-2966
(801) 688-1947
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7544866-4405
UT
Other
Enumeration date
01/10/2025
Last updated
12/09/2025
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