Individual
MS. JESSICA C NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
395 W COUGAR BLVD STE 205, PROVO, UT 84604-3328
(801) 357-1770
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-1770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
311883-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
311883-8900
UT
Other
Enumeration date
12/20/2020
Last updated
01/12/2026
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