Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Anderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508667742

Jacob Anderson is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

Licensed in
MA
In the registry since
2025

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PENDING (MA)

Record details

NPI number1508667742
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 23, 2025
Mailing address55 Fruit St, Boston, MA 02114-2621

Other providers in Boston