Nurse Practitioner, Family
JACQUELINE ANDERSON
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 Plan acceptance stays unpublished until the practice reports it.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 1205245255 · enumerated 2014-08-04 · record updated 2021-10-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 2057 NORTHFIELD DR, SANTA ROSA, CA, 95403-2073 (707) 775-8510 Google Maps Apple Maps OpenStreetMap
- Mailing address 2057 NORTHFIELD DR, SANTA ROSA, CA, 95403-2073 (707) 775-8510 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · License 95000793 CA
- Nurse Practitioner, Family 363LF0000X · Primary · License 95000793 CA
In this directory
Locations and evidence
-
Practice location
SANTA ROSA, CA, 954032073
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.