Individual provider · NPI-1

Jennifer S Anderson, MD

Internal Medicine · Boise, ID

NPI number1093825903
StatusActive
Last updated in NPPESMar 11, 2024

Details

NPI
1093825903
Entity type
Individual (NPI-1)
Name
Jennifer S Anderson
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2006
Certification date
Mar 11, 2024
Last updated
Mar 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineM-12001IDYes
207R00000X Internal MedicineMD60022458WA
207RC0000X Internal Medicine, Cardiovascular DiseaseM-12001ID
207R00000X Internal MedicineML20008610WA
207R00000X Internal Medicine2009-02126NC
207RC0000X Internal Medicine, Cardiovascular DiseaseMD161181OR

Other names

  • Jennifer Marie Schultz (Former Name)

Practice location

300 E Jefferson St Ste 101
Boise, ID 83712-6221

Phone 208-322-1680 · Fax 208-322-1695

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Boise, ID