Individual
JESSICA NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
81 N MARIO CAPECCHI DR, SLC, UT 84113-1125
(801) 587-2042
Mailing address
10318 AVONDALE DR, CEDAR HILLS, UT 84062-8552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6496201-4405
UT
Other
Enumeration date
10/04/2023
Last updated
03/04/2025
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