Anderson, Jessica L

Anderson, Jessica L is an individual health care provider with primary practice located at 3033 State Rd Suite 204, Cuyahoga Falls OH 44223-3614. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Anderson, Jessica L can be contacted via phone (330) 253-9727.

Contact Information

Primary practice address
3033 State Rd Suite 204 Cuyahoga Falls OH 44223-3614
Phone: (330) 253-9727
Fax: (330) 920-3124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X NS 07214 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP15854 Ohio

Profile Details

NPI number 1912171018
LBN Legal business name Anderson, Jessica L
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2008
Last updated Aug 12th, 2014 - about 10 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 1912171018 NPPES
Ohio MEDICAID 2812675

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