National Provider Identifier Database

JENNIFER R ANDERSON, CRRN, CDE, CLNC – NPI #1114393956
Rehabilitation


Contact Information

JENNIFER R ANDERSON, CRRN, CDE, CLNC
1355 INDEPENDENCE DR
AUGUSTA, GA30901-1037
Phone: 706-826-5808
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation 163WR0400X
Registered Nurse 163W00000X

* Indicates primary specialty

NPI Profile & details for JENNIFER R ANDERSON

NPI Number 1114393956
Credentials CRRN, CDE, CLNC
Entity Individual
Enumeration date 08/17/2015
Last updated 08/17/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 725156
  • GA License #: RN243066
  • NV License #: RN58436
  • WA License #: RN60270142
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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