Individual
JESSICA MARIE PERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 E 3900 S STE 5000, SALT LAKE CITY, UT 84124-1275
(801) 261-7479
(801) 261-7429
Mailing address
PO BOX 100253, ATLANTA, GA 30384-0253
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R49389
ND
363LF0000X
Family Nurse Practitioner
Primary
14270510-4405
UT
363LF0000X
Family Nurse Practitioner
14270510-8900
UT
363LF0000X
Family Nurse Practitioner
202959
ND
Other
Enumeration date
10/07/2024
Last updated
03/23/2026
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