Jessica Michelle Anderson
Family Medicine in Nampa, ID. Individual provider (NPI-1).
NPI number1164140281
StatusActive
Last updated in NPPESDec 5, 2025
Details
- NPI
- 1164140281
- Entity type
- Individual (NPI-1)
- Name
- Jessica Michelle Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2022
- Certification date
- Dec 5, 2025
- Last updated
- Dec 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 70287 | ID | Yes |
| 363L00000X | Nurse Practitioner | 70287 | ID | |
| 363L00000X | Nurse Practitioner | 95015168 | CA | |
| 207Q00000X | Family Medicine | 644524 | CA |
Practice location
823 E Amity AveNampa, ID 83686-1053
Phone 208-467-8428 · Fax 800-934-4028
Mailing address
823 E Amity AveNampa, ID 83686-1053
Phone 208-467-8428 · Fax 800-934-4028
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