Anderson, Jonathan O

Anderson, Jonathan O is an individual health care provider with primary practice located at 708 W Forest Ave , Jackson TN 38301-3901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Anderson, Jonathan O can be contacted via phone (731) 927-7070.

Contact Information

Primary practice address
708 W Forest Ave Jackson TN 38301-3901
Phone: (731) 927-7070
Fax: (731) 927-7075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 12440 Tennessee

Profile Details

NPI number 1477619724
LBN Legal business name Anderson, Jonathan O
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated May 14th, 2024 - 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 1477619724 NPPES
Tennessee MEDICAID 3638387

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