| Jennifer Therese Anderson, | |
| 
					1203 Idaho St, Lewiston, ID 83501-1940  | |
| (509) 444-8200 | |
| Not Available | 
| Full Name | Jennifer Therese Anderson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 1203 Idaho St, Lewiston, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790400992 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN00124469 (Washington) | Secondary | 
| 363L00000X | Nurse Practitioner | 72977 (Idaho) | Primary | 
| Entity Name | Community Health Association Of Spokane | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235372707 PECOS PAC ID: 9638063217 Enrollment ID: O20090723000312  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer Therese Anderson, 611 N Iron Bridge Way, Spokane, WA 99202-4932 Ph: (509) 444-8200  | Jennifer Therese Anderson, 1203 Idaho St, Lewiston, ID 83501-1940 Ph: (509) 444-8200  | 
Mrs. Nicole M Engledow, ARPN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 8th Ave, Lewiston, ID 83501 Phone: 208-792-2685 Fax: 208-792-2882  | |
Susan P Stutzman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-3100 Fax: 208-799-0349  | |
Anita Ringering, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Warner Dr, Ste 4, Lewiston, ID 83501 Phone: 208-413-3835  | |
Spencer Godfrey,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300  | |
Tracy Streibick Flynn, FNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300  | |
Mrs. Lynzee Brooke Hewett, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 Southway Ave Ste C, Lewiston, ID 83501 Phone: 208-503-2326  | |
Tayler Lyndsey Holman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3428 5th St, Lewiston, ID 83501 Phone: 509-552-6674  |