Individual
MS. JEAN A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
201 NORTH WASHINGTON STREET, FALLS CHURCH, VA 22046
(703) 237-4000
(703) 536-1400
Mailing address
2101 EAST JEFFERSON STREET, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS, ROCKVILLE, MD 20852
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164712
VA
Other
Enumeration date
01/16/2007
Last updated
01/03/2012
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