NPI 1609326776 · live from the CMS NPI Registry
Jacqueline Anderson, CRNP
Nurse Practitioner, Family in Pensacola, FL. National Provider Identifier 1609326776, active.
NPI record
| NPI | 1609326776 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 5100 N 12th Ave Ste 101, Pensacola, FL 32504 |
| Practice phone | 850-208-6130 |
| Mailing address | Po Box 95590, South Jordan, UT 84095 |
| Enumerated | October 12, 2016 |
| Last updated | March 23, 2026 |
| Sole proprietor | No |
| Other names | Jacqueline Keely |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | APRN11031835 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.