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JENNIFER ANDERSON NP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1437583259

Individual Registrant:
 JENNIFER  ANDERSON NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
195 AVIATION WAY SUITE 200 WATSONVILLE, CA 95076-2053 US
Tel: 831-728-8250  Fax: --

Contact information for business:
4111 TROUT GULCH RD  APTOS, CA 95003-2661 US
Tel: 415-656-7171  Fax: --

Registration Information:
NPI: 1437583259
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA23359

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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