Individual provider · Type 1 NPI
Jacqueline Anderson
Family Nurse Practitioner · Santa Rosa, CA
NPI number
1205245255
Active
Practice location
2057 Northfield Dr
Santa Rosa, CA 95403-2073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 95000793 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95000793 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205245255
Jacqueline Anderson's National Provider Identifier is 1205245255, issued on Aug 4, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 14, 2021.