Individual
JENNIFER S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 E JEFFERSON ST STE 101, BOISE, ID 83712-6221
(208) 322-1680
(208) 322-1695
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009-02126
NC
207R00000X
Internal Medicine Physician
Primary
M-12001
ID
207R00000X
Internal Medicine Physician
MD60022458
WA
207R00000X
Internal Medicine Physician
ML20008610
WA
207RC0000X
Cardiovascular Disease Physician
M-12001
ID
207RC0000X
Cardiovascular Disease Physician
MD161181
OR
Other
Enumeration date
08/30/2006
Last updated
03/11/2024
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