Jessica Michelle Anderson, is a
Nurse Practitioner physician based in Nampa, Idaho. Jessica Michelle Anderson is licensed to practice in Idaho (license number 70287) and her current practice location is 1308 W Lydia St, Nampa, Idaho. She can be reached at her office (for appointments etc.) via phone at
(760) 497-0753.
NPI number for Jessica Michelle Anderson is 1164140281 and her current mailing address is 1308 W Lydia St, Nampa, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164140281.
Physician's Profile
Full Name | Jessica Michelle Anderson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1308 W Lydia St, Nampa, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164140281
- Provider Enumeration Date: 08/15/2022
- Last Update Date: 08/15/2022
Medical Identifiers
Medical identifiers for Jessica Michelle Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164140281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 70287 (Idaho) | Secondary |
207Q00000X | Family Medicine | 644524 (California) | Secondary |
363L00000X | Nurse Practitioner | 95015168 (California) | Secondary |
363L00000X | Nurse Practitioner | 70287 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Michelle Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Michelle Anderson, 1308 W Lydia St, Nampa, ID 83651-2181 Ph: (760) 497-0753 | Jessica Michelle Anderson, 1308 W Lydia St, Nampa, ID 83651-2181 Ph: (760) 497-0753 |
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