Individual provider · Type 1 NPI

Jennifer Therese Anderson

Nurse Practitioner · Lewiston, ID

NPI number 1790400992 Active

Practice location

1203 Idaho St
Lewiston, ID 83501-1940

Mailing address

611 N Iron Bridge Way
Spokane, WA 99202-4932

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN00124469 (WA)
Nurse Practitioner Primary 363L00000X72977 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790400992

Jennifer Therese Anderson's National Provider Identifier is 1790400992, issued on Oct 10, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lewiston, ID. The record was last updated on Oct 10, 2022.