Provider Demographics
NPI:1053142224
Name:CHAMBERS, JESSICA ANDERSEN (RN)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ANDERSEN
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2567 N SIERRA DR
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84310-9892
Mailing Address - Country:US
Mailing Address - Phone:801-710-2169
Mailing Address - Fax:
Practice Address - Street 1:WEBER STATE UNIVERSITY
Practice Address - Street 2:3848 HARRISON BLVD
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403
Practice Address - Country:US
Practice Address - Phone:801-710-2169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program