Anderson, Jennelle

Anderson, Jennelle is an sole proprietor health care provider with primary practice located at 12 Queen St , Worcester MA 01610-2411. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Nursing Service Providers / Community Health. Nursing Service Providers / Community Health is her primary health care specialty. Anderson, Jennelle can be contacted via phone (508) 860-1260.

Contact Information

Primary practice address
12 Queen St Worcester MA 01610-2411
Phone: (508) 860-1260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 251500000X Massachusetts
Nursing Service Providers / Community Health 163WC1500X RN2298593 Massachusetts

Profile Details

NPI number 1801257746
LBN Legal business name Anderson, Jennelle
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2016
Last updated Jun 24th, 2024 - about 6 months 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 1801257746 NPPES
Massachusetts MEDICAID 1303007

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