Anderson, Jill Anne

Anderson, Jill Anne is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Anderson, Jill Anne can be contacted via phone (816) 234-3000.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (816) 234-3000
Fax: (816) 302-9894
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 74838 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 140947 Missouri

Profile Details

NPI number 1154374403
LBN Legal business name Anderson, Jill Anne
Credentials MSN PCNS
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 5th, 2023 - 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 1154374403 NPPES
Missouri MEDICAID 425693611

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