Anderson, Jamie

Anderson, Jamie is an sole proprietor health care provider with primary practice located at 30 1St Ave Ne Ste 7 , Buffalo MN 55313-1515. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Anderson, Jamie can be contacted via phone (763) 400-8177.

Contact Information

Primary practice address
30 1St Ave Ne Ste 7 Buffalo MN 55313-1515
Phone: (763) 400-8177
Fax: (304) 301-3047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP3630 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3630 Minnesota

Profile Details

NPI number 1548651409
LBN Legal business name Anderson, Jamie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2015
Last updated Mar 22nd, 2023 - about 3 years ago

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 1548651409 NPPES
Minnesota Other 411952112 TAX ID

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