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Individual

JESSICA MICHELLE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
823 E AMITY AVE, NAMPA, ID 83686-1053
(208) 467-8428
(800) 934-4028
Mailing address
823 E AMITY AVE, NAMPA, ID 83686-1053
(208) 467-8428
(800) 934-4028

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
644524
CA
207Q00000X
Family Medicine Physician
Primary
70287
ID
363L00000X
Nurse Practitioner
70287
ID
363L00000X
Nurse Practitioner
95015168
CA

Other

Enumeration date
08/15/2022
Last updated
12/05/2025
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