Jessica Anderson
Individual provider Active NPI Nurse's Aide · McHenry, IL
NPI 1144769878 · NPPES record last updated Feb 14, 2017
Key facts
- NPI
- 1144769878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 2803 Wooded LN
McHenry, IL 60051-7889 - Phone
- (312) 718-4104
- NPI assigned
- Feb 14, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
2803 Wooded LN
McHenry, IL 60051-7889
Mailing address
2803 Wooded LN
McHenry, IL 60051-7889
Phone (312) 718-4104
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.