Individual
JENNIFER STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(435) 881-3718
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-3599
(801) 587-7539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5924233-4405
UT
363LF0000X
Family Nurse Practitioner
5924233-8900
UT
Other
Enumeration date
11/10/2015
Last updated
12/20/2021
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