Jessica Madalyn Anderson in Benton - Clinical
Jessica Madalyn Anderson - NPI 1619180627
Jessica Madalyn Anderson is a Clinical in Benton, Arkansas. Jessica Madalyn Anderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Madalyn Anderson is 1619180627. The last update date is 2015-04-13.
Jessica Madalyn Anderson's current location address is 307 E Sevier St, Benton, Arkansas. You can contact this provider via phone number 5013266709 and fax number 5017780450. The mailing address for Jessica Madalyn Anderson is 307 E Sevier St, Benton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Madalyn Anderson |
|---|---|
| Address | 307 E Sevier St, Benton, Arkansas |
| Phone Number | 5013266709 |
| Fax Number | 5017780450 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1619180627 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2015-04-13 |
Provider Mailing Address Detail
| Address | 307 E Sevier St |
|---|---|
| City | Benton |
| State | Arkansas (AR) |
| Post Code | 720153934 |
| Phone Number | 5013266709 |
| Fax Number | 5017780450 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1675-C |
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What is the unique 10-digit identifier code issued to Jessica Madalyn Anderson by the Centers for Medicare & Medicaid Services?
The Jessica Madalyn Anderson has been assigned the NPI (National Provider Identifier) 1619180627 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jessica Madalyn Anderson is located?
The Jessica Madalyn Anderson is situated at the following address: 307 E Sevier St, Benton, AR, 720153934.
What is Jessica Madalyn Anderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jessica Madalyn Anderson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619180627 to Jessica Madalyn Anderson?
The Centers for Medicare & Medicaid Services originally issued the 1619180627 to Jessica Madalyn Anderson on 2007-05-07.
As of what date were the details related to Jessica Madalyn Anderson most recently updated or revised?
The information pertaining to Jessica Madalyn Anderson, including its address, specialty, and other relevant details, was last updated or revised on 2015-04-13.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA