JENNIFER ROSE ANDERSON CRRN CDE CLNC NPI 1114393956

NPI Information

NPI: 1114393956
Provider Name: JENNIFER ROSE ANDERSON, CRRN, CDE, CLNC
Classification: Registered Nurse - 163WR0400X
Entity Type: Individual

Specialization: Rehabilitation

Address:
1355 INDEPENDENCE DR
AUGUSTA, GA
ZIP 30901
Phone: (706) 826-5808
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Jennifer Rose Anderson, CRRN, CDE, CLNC is a rehabilitation registered nurse in Augusta, GA. Jennifer Rose Anderson, CRRN, CDE, CLNC NPI is 1114393956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1355 INDEPENDENCE DR
AUGUSTA, GA
ZIP 30901-037
Phone: (706) 826-5808

The enumeration date for this NPI number is 8/17/2015 and was last updated on 8/17/2015.

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	163W00000X	Registered Nurse		RN60270142	WASHINGTON	No
2	163WR0400X	Registered Nurse	Rehabilitation	725156	CALIFORNIA	No
3	163WR0400X	Registered Nurse	Rehabilitation	RN58436	NEVADA	No
4	163WR0400X	Registered Nurse	Rehabilitation	RN243066	GEORGIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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