Individual
PEGGY ANNE JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8537 REDWOOD RD, SUITE A - MAIN LEVEL, WEST JORDAN, UT 84088-9311
(801) 568-2898
Mailing address
1077 E CLIFF SIDE CT, 209, SANDY, UT 84094-0798
(801) 563-0708
(801) 566-5939
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
278825-4405
UT
Other
Enumeration date
10/03/2006
Last updated
12/14/2016
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