Individual
JENNIFER ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RND
Contact information
Practice address
1161 E EAGLE POINT DR, SHELTON, WA 98584-6647
(360) 229-6402
Mailing address
1161 E EAGLE POINT DR, SHELTON, WA 98584-6647
(360) 229-6402
(360) 229-6402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60184769
WA
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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