NPI 1306089933 JESSICA ANDERSEN MARYVILLE IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jessica Andersen - NPI: 1306089933

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JESSICA ANDERSEN
NPI Number: 1306089933
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number:
Business Practice Address: 520 S Elm Ave
Webster Groves, MO - 631193845
Business Phone Number: 3149623464
Business Fax Number:
Mailing Address: 901 Copper Rdg,
MARYVILLE
State: IL
Postal Code: 620625679
Phone Number: 3149623464
Fax Number:
NPI Enumeration Date: 04/13/2009
NPI Last Update Date: 04/13/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 246ZS0410X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type:
Taxonomy Classification:
Taxonomy Specialization:
Taxonomy Definition:


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