Jennifer W. Anderson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

198045-4405 Issued in UT

Legal business name

JENNIFER W. ANDERSON

Practice address

8006 S Mountain Oaks Dr
Salt Lake City, UT 84121-5921

Phone

(801) 634-5366

NPI assigned

Nov 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jennifer Williams Anderson, FNP

Title

Owner

Phone

(801) 634-5366

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1194905174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150173",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150173",
            "telephone_number": "801-479-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8006 S MOUNTAIN OAKS DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215921",
            "telephone_number": "801-634-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER W. ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-634-5366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "198045-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Jenkins, M.D.
• Stephen Jenkins, M.D.
• Kylie Jenks
• Jennifer Squire PC
• Jennifer Squire PC
• Lynn Jennings-Johnson
• Cassidy Melissa Jennings, PHARMD
• Christa Ann Jennings, APRN, PNP, RN
• Dorthy L Jennings
• Michael S Jennings, MD

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.