Anderson, Jessica J

Anderson, Jessica J is an individual health care provider with primary practice located at 520 Mary St Ste 520 , Evansville IN 47710-1682. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Anderson, Jessica J can be contacted via phone (812) 424-8231.

Contact Information

Primary practice address
520 Mary St Ste 520 Evansville IN 47710-1682
Phone: (812) 424-8231
Fax: (812) 435-8794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71010855 Indiana

Profile Details

NPI number 1356940118
LBN Legal business name Anderson, Jessica J
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2020
Last updated Feb 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356940118 NPPES
Indiana MEDICAID 30048075
Indiana MEDICAID 7100725430
Indiana Other 2020093423
Indiana Other 71010855
Indiana Other 000001513579

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