| NPI | 1548651409 |
|---|---|
| Former Name | JAMIE J ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 3630) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP3630) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2024-08-12 |