Jeffrey C Anderson, NP
Nurse Practitioner, Psych/Mental Health in Rexburg, ID. Individual provider (NPI-1).
NPI number1497197891
StatusActive
Last updated in NPPESMar 19, 2025
Details
- NPI
- 1497197891
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey C Anderson
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2013
- Certification date
- Mar 19, 2025
- Last updated
- Mar 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | NP-1314A | ID | Yes |
Practice location
1069 Summers Dr Ste BRexburg, ID 83440-5335
Phone 208-607-9816 · Fax 208-549-7883
Mailing address
1069 Summers Dr Ste BRexburg, ID 83440-5335
Phone 208-607-9816 · Fax 208-549-7883
Other practice locations
808 N 5th Ave
Sequim, WA 98382-3045
Sequim, WA 98382-3045
Phone 360-683-5900
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