NPI 1922417831 · live from the CMS NPI Registry
Jess Anderson, FNP
Nurse Practitioner, Family in Magna, UT. National Provider Identifier 1922417831, active.
NPI record
| NPI | 1922417831 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 3665 S 8400 W, Magna, UT 84044 |
| Practice phone | 801-250-9638 |
| Enumerated | August 5, 2014 |
| Last updated | October 16, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 4985757-4405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.