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General NPI Number Information
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NPI Number | 1881344778
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Entity Type | Individual
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Provider Name | JODI ANDERSEN WHNP
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Gender | Female
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1551 RENAISSANCE TOWNE DR STE 460
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City | BOUNTIFUL
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State | UT
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Zip | 84010-7672
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Country | US
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Telephone | 801-200-2999
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Fax | 385-252-3338
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Provider Business Mailing Address
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Address Line | 1895 W DEEP CREEK RD
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City | MORGAN
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State | UT
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Zip | 84050-9621
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Country | US
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Telephone | 801-391-8736
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Fax | 385-252-3338
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 374064-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 374064-4405
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License Number State | UT
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