Anderson, Joette Eileen

Anderson, Joette Eileen is an individual health care provider with primary practice located at 836 Prudential Dr Suite 1202, Jacksonville FL 32207-8339. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Anderson, Joette Eileen can be contacted via phone (904) 399-4862.

Contact Information

Primary practice address
836 Prudential Dr Suite 1202 Jacksonville FL 32207-8339
Phone: (904) 399-4862
Fax: (904) 346-5410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP 865542 Florida

Profile Details

NPI number 1811917859
LBN Legal business name Anderson, Joette Eileen
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 6th, 2015 - about 10 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 1811917859 NPPES
Florida MEDICAID 308339000

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