Individual
DR. JACOB DOUGLAS ANDERSON
Active
Individual
DR. JACOB DOUGLAS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
7942683-4405
UT
363LF0000X
Family Nurse Practitioner
NP1718A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205300407
NPI
ID
01
—
833011825
STATE
ID
Enumeration date
06/26/2015
Last updated
06/15/2026
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