Jessica Lynn Anderson
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
117 S 11th Ave
Laurel
, Mississippi 39440-4312
Jessica Lynn Anderson
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
117 S 11th Ave
Laurel
, Mississippi 39440-4312
(601) 425-3033
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About
Features
Specialties
- Nurse Practitioner - Community Health
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Jessica Lynn Anderson
- 117 S 11th Ave
- Laurel, MS
- Zip : 39440-4312
- Phone : (601) 425-3033
Second Address
- Jessica Lynn Anderson
- 117 S 11th Ave
- Laurel, MS
- Zip : 39440-4312
- Phone : (601) 425-3033
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC1500X | Nurse Practitioner - Community Health | 903635 | MS |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 903635 | MS |
National Provider Identifier
| NPI | 1508406802 |
|---|---|
| Provider Name | Jessica Lynn Anderson |
| First Address | Laurel, MS 39440-4312 |
| Second Address | Laurel, MS 39440-4312 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2020 |
| Last Update Date | 19/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.