person
Jeffrey C Anderson, NP
Psychiatric/Mental Health Nurse Practitioner in Rexburg, Idaho
NPI 1497197891

Jeffrey C Anderson is a Psychiatric/Mental Health Nurse Practitioner based in Rexburg, ID and is specialized in Psychiatric/Mental Health. Jeffrey C Anderson practices in Rexburg, ID and has the professional credentials of NP. The NPI Number for Jeffrey C Anderson is 1497197891 and holds a License No. NP-1314A (Idaho).

The current practice location address for Jeffrey C Anderson is 1069 Summers Dr Ste B, Rexburg, ID and can be reached out via phone at 208-607-9816 and via fax at 208-549-7883.

Location: 1069 Summers Dr Ste B, Rexburg, ID, 83440-5335
person
Provider Profile Details
NPI Number
1497197891
Provider Name
Jeffrey C Anderson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1069 Summers Dr Ste B, Rexburg, ID, 83440-5335
Phone Number
208-607-9816
Fax Number
208-549-7883
Provider Enumeration Date
07/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP-1314A 01 ID STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1069 Summers Dr Ste B
City
State
Zip
83440-5335
Phone Number
208-607-9816
Fax Number
208-549-7883
person
Provider Business Mailing Address Details
Address
1069 Summers Dr Ste B
City
State
Zip
83440-5335
Phone Number
208-607-9816
Fax Number
208-549-7883
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
NP-1314A (Idaho)
Definition
Definition to come...
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