Individual
JENNIFER LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
459 N HIGHWAY 52, MONCKS CORNER, SC 29461-3924
(843) 899-3870
Mailing address
2243 SANDY POINT LN, MOUNT PLEASANT, SC 29466-9203
(775) 544-1869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1077
NV
363A00000X
Physician Assistant
Primary
PA4330
SC
Other
Enumeration date
11/30/2007
Last updated
09/29/2022
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