Individual provider · Type 1 NPI

Jessica Lee Anderson, RN

Psychiatric/Mental Health Nurse Practitioner · Provo, UT

NPI number 1063222065 Active

Practice location

320 River Park Dr Ste 255
Provo, UT 84604-6065

Call (801) 616-3675 Map

Mailing address

212 E Crossroads Blvd # 148
Saratoga Springs, UT 84045-2966

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X7544866-4405 (UT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063222065

Jessica Lee Anderson, RN's National Provider Identifier is 1063222065, issued on Jan 10, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Provo, UT. The record was last updated on Dec 9, 2025.