Kristie Anderson, CFNP
Nurse Practitioner, Family in Jackson, MS. Individual provider (NPI-1).
NPI number1447632351
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1447632351
- Entity type
- Individual (NPI-1)
- Name
- Kristie Anderson
- Credential
- CFNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2015
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R883183 | MS | Yes |
Practice location
805 E River PlJackson, MS 39202-3486
Phone 601-500-7660 · Fax 769-243-7946
Mailing address
805 E River PlJackson, MS 39202-3486
Phone 601-500-7660 · Fax 769-243-7946
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