Individual
MISS JENNIFER ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADULT PMHNP-BC
Contact information
Practice address
6262 E BROWN RD UNIT 43, MESA, AZ 85205-4846
(480) 766-1894
Mailing address
6262 E BROWN RD UNIT 43, MESA, AZ 85205-4846
(480) 766-1894
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP4732 AZBN
AZ
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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