Dora Anderson, CFNP
Nurse Practitioner, Family in Jackson, MS. Individual provider (NPI-1).
NPI number1932142502
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1932142502
- Entity type
- Individual (NPI-1)
- Name
- Ms. Dora Anderson
- Credential
- CFNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R701564 | MS | Yes |
Practice location
3502 W Northside DrJackson, MS 39213-4454
Phone 601-362-5321 · Fax 601-362-5321
Mailing address
3502 W Northside DrJackson, MS 39213-4454
Phone 601-362-5321 · Fax 601-362-5321
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