Individual
MRS. JESSICA LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3905 WELLNESS WAY STE 3B, BOZEMAN, MT 59718-2402
(406) 414-5950
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
575
MT
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-575
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417115791
—
MT
Enumeration date
05/23/2008
Last updated
01/21/2026
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