Nurse Practitioner, Family
Dr. JACOB ANDERSON DNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1316329220 · enumerated 2015-06-26 · record updated 2026-06-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 740 S WOODRUFF AVE, IDAHO FALLS, ID, 83401-5285 (208) 542-9111 Fax (208) 542-9114 Google Maps Apple Maps OpenStreetMap
- Practice location 630 E 1400 N STE 150, LOGAN, UT, 84341-2549 (435) 915-4465 Fax (435) 787-8509 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · License NP1718A ID
- Clinic/Center, Occupational Medicine 261QX0100X
- Clinic/Center, Urgent Care 261QU0200X
- Nurse Practitioner, Family 363LF0000X · Primary · License 7942683-4405 UT
- Clinic/Center, Primary Care 261QP2300X
In this directory
Locations and evidence
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Practice location
LOGAN, UT, 843412549
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.