Individual
MR. JORDAN WYLER JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
375 N MAIN ST STE 103, KAYSVILLE, UT 84037-1272
(801) 876-3749
(801) 876-3697
Mailing address
254 W 5400 S, WASHINGTON TERRACE, UT 84405-6835
(801) 361-6787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6212698-4405
UT
Other
Enumeration date
06/07/2013
Last updated
05/05/2025
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