NPI 1174379754
Jacquelyn Josie Anderson, DO
Practice location
- Address
- 1555 Northway Dr STE 200, Saint Cloud, MN 56303-4913
- Phone
- (320) 240-3157
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1174379754
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Apr 2024
- Record last updated
- 25 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.