Jennifer C Anderson, N.P.
Nurse Practitioner, Family in Olympia Fields, IL. Individual provider (NPI-1).
NPI number1215472329
StatusActive
Last updated in NPPESJun 1, 2023
Details
- NPI
- 1215472329
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer C Anderson
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2016
- Certification date
- Jun 1, 2023
- Last updated
- Jun 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209015366 | IL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 277000396 | IL |
Practice location
3800 W 203rd St Ste 202Olympia Fields, IL 60461-1185
Phone 708-679-2233 · Fax 708-679-2231
Mailing address
3800 W 203rd St Ste 202Olympia Fields, IL 60461-1185
Phone 708-679-2233 · Fax 708-679-2231
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