JENNA LYNNE ANDERSON (NPI# 1568072999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568072999 |
| Entity Type | Individual |
| Full Name | JENNA LYNNE ANDERSON |
| Credential | PHARMD |
| Practice Address |
21 W Main St Evansville WI 53536-1143 |
| Mailing Address |
W2677 Mourning Dove Ln Belleville WI 53508-9803 |
| Practice Telephone | 6088824550 |
| Practice Fax Number | 6088820149 |
| Mailing Telephone | 6082207385 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19475-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952750994 | Jenna Leigh Anderson | Mechanotherapist | 22627 Bothell Everett Hwy Ste D-e, Bothell, WA 98021-8499 | 2016-06-09 |
| 1891027587 | Jenna Ryan Anderson | Doula | 1428 Rubenstein Ave, Cardiff, CA 92007-2428 | 2010-02-04 |
| 1962016451 | Jenna Anderson | Speech-Language Pathologist | 1879 Deerfield Rd, Lebanon, OH 45036-8602 | 2020-09-02 |
| 1912411562 | Jenna Leigh Anderson | Physician Assistant | 1900 Mistletoe Blvd Ste 200, Fort Worth, TX 76104-4049 | 2017-11-17 |
| 1952832149 | Jenna Anderson | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2017-03-21 |
| 1114359098 | Jenna L Anderson | Physical Therapist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2013-08-02 |
| Street Address |
21 W MAIN ST |
| City | EVANSVILLE |
| State | WI |
| Zip Code | 53536-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768137 | Md Group LLC | Durable Medical Equipment & Medical Supplies | 21 W Main St, Evansville, WI 53536-1143 | 2005-05-27 |
| 1235360280 | Allison Herrick | Pharmacist | 21 W Main St, Evansville, WI 53536-1143 | 2009-08-06 |
| 1407949464 | Ronald B. Mabie | Pharmacist | 21 W Main St, Evansville, WI 53536-1143 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851817787 | Tammy Ann Reed | Physical Therapy Assistant | 470 Garfield Avenue, Evansville, WI 53536 | 2017-08-22 |
| 1396291522 | Quadmed LLC | Clinic/Center | 101 County Highway M, Evansville, WI 53536 | 2016-08-28 |
| 1821221649 | Jeff Richards | Chiropractor | 825 Brown School Road, Evansville, WI 53536 | 2009-08-27 |
| 1336278522 | Emily Peterson | Physical Therapist | 811 Brown School Road, Evansville, WI 53536 | 2007-03-05 |
| 1609863794 | Evansville Manor, Inc. | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2005-10-04 |
| 1356852958 | Evm Operations LLC | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-10-23 |
| 1487172193 | Samantha Rae Arnold | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-09-01 |
| 1730605247 | Karmen Lee Maag | Occupational Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-08-16 |
| 1700218724 | Kim Ellen Kline | Physical Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2013-08-01 |
| 1497029995 | Kathryn Ann Dauwalter | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2012-02-29 |
| Find all providers in zip 53536 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1508497611 | Jeremy Lewis Mann | Pharmacist | 1150 S Green River Rd, Evansville, IN 47715-6804 | 2020-01-28 |
| 1366092678 | Traci Fritschle | Pharmacist | 520 Mary St Ste 330, Evansville, IN 47710-1679 | 2019-09-18 |
| 1831560416 | Anna Terese Cochrane | Pharmacist | 1201 Cross Pointe Pl, Evansville, IN 47715-9168 | 2015-10-08 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1386908069 | Donald Walz | Pharmacist | 8009 Old Orchard Trl, Evansville, IN 47712-7328 | 2012-06-27 |
| 1770852204 | Tom William Seto | Pharmacist | 8515 Talbot Dr, Evansville, IN 47725-7503 | 2011-12-29 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1649553728 | Kimberly Hill | Pharmacist | 3323 N Green River Rd, Evansville, IN 47715-1351 | 2011-09-24 |
| 1821371071 | Elizabeth D Parker | Pharmacist | 4301 N 1st Ave, Evansville, IN 47710-3619 | 2011-09-23 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 53536 |
Please comment or provide details below to improve the information on JENNA LYNNE ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.