Criscilla Anderson
Case Manager/Care Coordinator in Jacksonville, FL. Individual provider (NPI-1).
NPI number1053108308
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1053108308
- Entity type
- Individual (NPI-1)
- Name
- Criscilla Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2025
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2392 Edgewood Ave NJacksonville, FL 32254-1725
Phone 904-781-7797 · Fax 904-781-8685
Mailing address
2392 Edgewood Ave NJacksonville, FL 32254-1725
Phone 904-781-7797 · Fax 904-781-8685
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