Individual
JENNIFER H ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1350 N 500 E FL 3, LOGAN, UT 84341-2400
(435) 792-1730
Mailing address
1350 N 500 E FL 3, LOGAN, UT 84341-2400
(435) 792-1730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2139584405
UT
Other
Enumeration date
07/28/2006
Last updated
07/17/2008
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