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JENNIFER ANDERSON PA

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

Provider NPI: 1801837125

Provider Information:
 JENNIFER  ANDERSON PA
Gender: F
Not Sole Proprietor

Practice Location:
2020 NEWBURG RD  LOUISVILLE, KY 40205-1803 US
Tel: 502-261-2182  Fax: 502-240-6481

Business Mailing Address:
10216 TAYLORSVILLE RD SUITE 900 LOUISVILLE, KY 40299-3616 US
Tel: 502-261-2182  Fax: 502-240-6481

NPI Information:
NPI: 1801837125
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
KYPA240

Other Provider Identifiers:

IssuerNumberStateType
95000915KY05



American Medical Association 2012 taxonomy code information

Code: 363AM0700X

Type:

Classification:



Definition:



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