Individual
MR. JAMES EDWARD FENTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
600 S STATE ST STE 2, CLEARFIELD, UT 84015-1210
(385) 483-1003
(386) 222-7279
Mailing address
3841 WESTWOOD DR, PLEASANT VIEW, UT 84414-1319
(217) 779-3606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11425353-4405
UT
363LF0000X
Family Nurse Practitioner
209.019352
IL
363LF0000X
Family Nurse Practitioner
A155585
IA
Other
Enumeration date
07/15/2019
Last updated
08/26/2024
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