Individual
JAYMINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
5700 S MARYLAND AVE, CHICAGO, IL 60637-1426
(773) 834-0152
(773) 834-8891
Mailing address
5700 S MARYLAND AVE, CHICAGO, IL 60637-1426
(773) 834-0152
(773) 834-8891
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015026
IL
Other
Enumeration date
12/06/2016
Last updated
03/04/2020
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