Individual
JACQUELYN GILLASPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(385) 278-9704
Mailing address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN193698
AZ
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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