Individual
LISA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 SPRING ST, JEFFERSONVILLE, IN 47130-3641
(812) 282-2256
Mailing address
1002 SPRING ST, JEFFERSONVILLE, IN 47130-3641
(812) 282-2256
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71010821A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010821A
IN
Other
Enumeration date
03/01/2021
Last updated
12/10/2023
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