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Organization
CANYON CREEK HEALTH AND WELLNESS
Active
Organization
CANYON CREEK HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENTRY CORA MCKELL NP (NURSE PRACTIONER)
(801) 310-5878
Entity
Organization
Contact information
Practice address
245 E 400 S, SPRINGVILLE, UT 84663-1957
(385) 543-5266
(385) 503-2493
Mailing address
245 E 400 S, SPRINGVILLE, UT 84663-1957
(385) 543-5266
(385) 503-2493
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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