Individual
JESSIE SHERIDAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
306073
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
14310-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12313522
CAQH
—
Enumeration date
11/02/2011
Last updated
02/21/2014
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