DR. JACOB DOUGLAS ANDERSON DNP NPI 1316329220

NPI Information

DR. Jacob Douglas Anderson, DNP is a family nurse practitioner in Logan, UT with 9 years of experience. DR. Jacob Douglas Anderson, DNP NPI is 1316329220. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

630 E 1400 N STE 150
LOGAN, UT
ZIP 84341-549
Phone: (435) 915-4465
Fax: (435) 787-8509

The NPI 1316329220 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2015 and was last updated on 7/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.