JEFFREY C ANDERSON NP NPI 1497197891

NPI Information

NPI: 1497197891
Provider Name: JEFFREY C ANDERSON, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1069 SUMMERS DR STE B
REXBURG, ID
ZIP 83440
Phone: (208) 607-9816
Get Directions

Jeffrey C Anderson, NP is a psychiatric/mental health nurse practitioner in Rexburg, ID. Jeffrey C Anderson, NP NPI is 1497197891. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1069 SUMMERS DR STE B
REXBURG, ID
ZIP 83440-335
Phone: (208) 607-9816
Fax: (208) 549-7883

The NPI 1497197891 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2013 and was last updated on 7/11/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	NP-1314A	IDAHO	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP-1314A	OTHER	IDAHO	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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