Individual
KATELYN JANAE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3556 W 9800 S STE 101, SOUTH JORDAN, UT 84095-3221
(801) 567-9780
Mailing address
297 N 760 W, OREM, UT 84057-4516
(435) 313-0778
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
11101272-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
11101272-8900
UT
Other
Enumeration date
02/04/2025
Last updated
02/05/2025
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