Individual
MRS. JAREKA LYNNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
601 S CLAY ST STE 104, ENNIS, TX 75119-5771
(972) 875-6600
(877) 460-4501
Mailing address
601 S CLAY ST, STE 104, ENNIS, TX 75119-5771
(281) 221-6605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP140317
TX
363LA2200X
Adult Health Nurse Practitioner
AP140317
TX
363LP0200X
Pediatric Nurse Practitioner
AP140317
TX
363LP2300X
Primary Care Nurse Practitioner
AP140317
TX
363LW0102X
Women's Health Nurse Practitioner
AP140317
TX
Other
Enumeration date
01/26/2019
Last updated
02/05/2024
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