Individual
JENNIFER ANNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4511 SAN MARINO DR, DAVIS, CA 95618-5014
(530) 902-3396
Mailing address
4511 SAN MARINO DR, DAVIS, CA 95618-5014
(530) 902-3396
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
633849
CA
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
633849
CA BOARD OF REGISTERED NURSING
CA
Enumeration date
06/23/2023
Last updated
07/07/2025
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