Individual
JODI LYNN MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8 TH AVENUE AND C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-3858
(801) 408-3072
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-3858
(801) 408-3072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
328796-4405
UT
Other
Enumeration date
09/26/2011
Last updated
04/22/2016
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