Individual
JESSICA ARBOGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
315 N VIRGINIA ST, SALT LAKE CITY, UT 84103-4336
(801) 946-2821
Mailing address
315 N VIRGINIA ST, SALT LAKE CITY, UT 84103-4336
(801) 946-2821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4548876-4405
UT
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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