Anderson, Jonna O

Anderson, Jonna O is an individual health care provider with primary practice located at 1106 N Gilbert Rd Ste 2 Pmb188, Mesa AZ 85203-5143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Anderson, Jonna O can be contacted via phone (480) 227-4426.

Contact Information

Primary practice address
1106 N Gilbert Rd Ste 2 Pmb188 Mesa AZ 85203-5143
Phone: (480) 227-4426
Fax: (480) 834-3606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP3703 Arizona

Profile Details

NPI number 1205144946
LBN Legal business name Anderson, Jonna O
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2010
Last updated May 20th, 2014 - about 11 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 1205144946 NPPES
Arizona MEDICAID 564117

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