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NPI Code Detail

MEDICARE: JEAN ANDERSON APRN,FNP-C

MEDICARE: JEAN ANDERSON APRN,FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner71012565AIN
2363L00000XNurse Practitioner21884AR
3363L00000XNurse Practitioner325669AZ
4363L00000XNurse Practitioner209025180IL
5363LF0000XFamily Nurse Practitioner207492OK
6363L00000XNurse Practitioner223986LA
7363L00000XNurse Practitioner1-188981AL
8363L00000XNurse Practitioner31258TN
9363L00000XNurse Practitioner0036496OH
10363L00000XNurse PractitionerSP034914PA
11363L00000XNurse PractitionerAP128025TX
12363LF0000XFamily Nurse PractitionerF0911484MN

General Provider Information

NPI Number : 1518242064
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN ANDERSON APRN,FNP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 3200 W END AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1330
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2011
Last Update Date : 03/18/2026

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