Andersen, Jodi

Andersen, Jodi is an individual health care provider with primary practice located at 1551 Renaissance Towne Dr Ste 460 , Bountiful UT 84010-7672. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Andersen, Jodi can be contacted via phone (801) 200-2999.

Contact Information

Primary practice address
1551 Renaissance Towne Dr Ste 460 Bountiful UT 84010-7672
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 374064-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 374064-4405 Utah

Profile Details

NPI number 1881344778
LBN Legal business name Andersen, Jodi
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2022
Last updated Apr 16th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881344778 NPPES
Utah Other 374064-4405 STATE LICENSE

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