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

Jacquelyn Josie Anderson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174379754

Jacquelyn Josie Anderson, DO is a Student in an Organized Health Care Education/Training Program in Saint Cloud, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1555 Northway Dr Ste 200
Saint Cloud, MN 56303-4913
Phone: (320) 240-3157
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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

Record details

NPI number1174379754
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address1555 Northway Dr Ste 200, Saint Cloud, MN 56303-4913

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