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Contact Information

JENNIFER ANDERSON, PA
2020 NEWBURG RD
LOUISVILLE, KY40205-1803
 Phone: 502-261-2182
 Fax: 502-240-6481
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER ANDERSON · (Female)

NPI Number 1801837125
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/09/2006
Last updated 05/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # PA240
  • KY Medicaid 95000915
Hospital affiliation(s)
  • JEWISH HOSPITAL & ST MARY'S HEALTHCARE - (Acute Care)
    200 ABRAHAM FLEXNER WAY
    LOUISVILLE, KY 40202
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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