# PEGGY JEROME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peggy Jerome, APRN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700939477
- **Authorized official:** PEGGY JEROME APRN (OWNER)
- **Authorized official phone:** (801) 568-2898

## Contact information

- **Practice address:** 8537 REDWOOD RD, STE. A - MAIN LEVEL, WEST JORDAN, UT 84088-9311
- **Practice address phone:** (801) 568-2898
- **Practice address fax:** (801) 568-2891
- **Mailing address:** 8537 REDWOOD RD, STE. A - MAIN LEVEL, WEST JORDAN, UT 84088-9311
- **Mailing address phone:** (801) 568-2898
- **Mailing address fax:** (801) 568-2891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | 2788254405 | UT | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020