Individual
JACQUELINE ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
614 N MAIN ST, NORTH WEBSTER, IN 46555-9364
(574) 834-7677
Mailing address
614 N MAIN ST, NORTH WEBSTER, IN 46555-9364
(574) 834-7677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28157053A
IN
Other
Enumeration date
06/15/2015
Last updated
10/01/2021
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