Anderson, Jessie Sheridan
Anderson, Jessie Sheridan is an individual health care provider with primary practice located at 904 Eastwind Dr , Westerville OH 43081-3329. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Anderson, Jessie Sheridan can be contacted via phone (614) 890-1914.Contact Information
Primary practice address
904 Eastwind Dr
Westerville OH 43081-3329
Phone: (614) 890-1914
Fax: (614) 890-4988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 14310-NP | Ohio |
| Nursing Service Providers / Registered Nurse | 163W00000X | 306073 | Ohio |
Profile Details
| NPI number | 1831475987 |
|---|---|
| LBN Legal business name | Anderson, Jessie Sheridan |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2011 |
| Last updated | Feb 21st, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831475987 | NPPES |
| Other | 12313522 | CAQH |
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