Individual
JENNIFER MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8333 FELCH ST, SUITE 200, ZEELAND, MI 49464-1698
(616) 748-2850
(616) 748-2855
Mailing address
3235 N WELLNESS DR, STE 120A, HOLLAND, MI 49424-8035
(616) 748-2850
(616) 748-2855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003933
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-5-70-1097-0
BCBS
MI
01
—
5601003933
LICENSE
MI
Enumeration date
08/17/2007
Last updated
03/18/2016
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