Individual
JAYCEE LYN FAUSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 N 400 W, ST B-6, OREM, UT 84057
(801) 921-2260
Mailing address
153 N 400 W, ST B-6, OREM, UT 84057
(801) 616-0066
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10514537-4405
UT
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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