Individual
MRS. JENNIFER JEAN ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2027 WEST RIDGE DR., EAU CLAIRE, WI 54703
(715) 271-3847
Mailing address
2027 WEST RIDGE DR., EAU CLAIRE, WI 54703
(715) 271-3847
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
143283-30
WI
183500000X
Pharmacist
13210-40
WI
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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