Individual
JENNIFER WALTERS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3707 E SOUTHERN AVE, MESA, AZ 85206-2569
(480) 849-9201
(480) 374-4179
Mailing address
3707 E SOUTHERN AVE, MESA, AZ 85206-2569
(480) 849-9201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN210429
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
294260
AZ
Other
Enumeration date
02/14/2023
Last updated
02/16/2025
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