Individual
JESSICA L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10107 RIDGEGATE PKWY STE 200, LONE TREE, CO 80124-5641
(303) 925-0700
(303) 329-2599
Mailing address
10107 RIDGEGATE PKWY STE 200, LONE TREE, CO 80124-5641
(303) 925-0700
(303) 329-2599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
140837
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16328264
—
CO
01
—
P01724621
RAILROAD MEDICARE RIA
CO
Enumeration date
10/18/2006
Last updated
02/21/2019
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