Jennifer Therese Anderson

NPI #1790400992 in Lewiston, Idaho

Provider Information

NPI Number
1790400992
Entity Type
Individual
Name
Jennifer Therese Anderson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Oct 10, 2022
Last Updated
Oct 10, 2022

Practice Location

Address
1203 IDAHO ST
State
Idaho
ZIP Code
83501-1940
Phone
(509) 444-8200

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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