Jaclyn B Anderson, MD
Dermatology, Dermatopathology in Tallahassee, FL. Individual provider (NPI-1).
NPI number1437730207
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1437730207
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn B Anderson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2021
- Certification date
- Jun 30, 2026
- Last updated
- Jun 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0900X | Dermatology, Dermatopathology | ME182606 | FL | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | ME182606 | FL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Jaclyn B Kurttila (Former Name)
Practice location
1708 Riggins RdTallahassee, FL 32308-5318
Phone 850-877-4134 · Fax 850-942-4112
Mailing address
Po Box 13859Tallahassee, FL 32317-3859
Phone 850-877-4134 · Fax 850-942-4112
Other practice locations
300 Pasteur Dr Dept Of
Stanford, CA 94305-2200
Stanford, CA 94305-2200
Phone 650-723-5948
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