Individual
JOY KENITA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3535 MARKET ST, PHILADELPHIA, PA 19104-3309
(610) 892-3800
(484) 468-1412
Mailing address
2506 78TH AVE, PHILADELPHIA, PA 19150-1830
(215) 381-7448
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP023729
PA
Other
Enumeration date
06/04/2021
Last updated
08/16/2021
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