Jacqueline Anderson
Jacqueline Anderson is a Nurse Practitioner in Santa Rosa, California. Graduated from Georgetown University School of Medicine in 2014, 12 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 12
- Trained at
- Georgetown University School of Medicine
- Licensed in
- CA
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
2057 Northfield DrSanta Rosa, CA 95403-2073
Phone: (707) 775-8510
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 95000793 (CA) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 95000793 (CA) |
Record details
| NPI number | 1205245255 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 4, 2014 |
| Last updated in NPPES | October 14, 2021 |
| Certification date | October 14, 2021 |
| Mailing address | 2057 Northfield Dr, Santa Rosa, CA 95403-2073 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2014 (12 years in practice) |
| Group practice | Providence Medical Foundation — 1465 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Santa Rosa
-
Emily Jo Baker, NP
131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 · (707) 541-7700
-
Julie Barlow, ACNP-BC
220 Concourse Blvd, Santa Rosa, CA 95403-8210 · (844) 527-7369
-
Nayabei Barretto, NP
194 Wikiup Dr, Santa Rosa, CA 95403-7757 · (707) 828-8440
-
Susan Barth Bishop, NP
121 Sotoyome St, Santa Rosa, CA 95405-4823 · (707) 525-4080