Individual
JESSICA LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
Mailing address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
903635
MS
363LF0000X
Family Nurse Practitioner
Primary
903635
MS
Other
Enumeration date
01/14/2020
Last updated
01/19/2021
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