Anderson, Jennifer

Anderson, Jennifer is an individual health care provider with primary practice located at 2020 Newburg Rd , Louisville KY 40205-1803. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Anderson, Jennifer can be contacted via phone (502) 261-2182.

Contact Information

Primary practice address
2020 Newburg Rd Louisville KY 40205-1803
Phone: (502) 261-2182
Fax: (502) 240-6481
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA240 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA240 Kentucky

Profile Details

NPI number 1801837125
LBN Legal business name Anderson, Jennifer
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated May 24th, 2021 - 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 1801837125 NPPES
Kentucky MEDICAID 95000915

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