Organization
AURA MIGRAINE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONDON JACKSON FNP-C (OWNER)
(801) 472-9836
Entity
Organization
Contact information
Practice address
370 E 800 S STE B, OREM, UT 84097-6386
(801) 472-9836
Mailing address
370 E 800 S STE B, OREM, UT 84097-6386
(801) 472-9836
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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