Individual
JESSICA L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP15854
OH
364SA2200X
Adult Health Clinical Nurse Specialist
NS 07214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2812675
—
OH
Enumeration date
04/18/2008
Last updated
08/12/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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