Individual
JESSALYN FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 355-2846
(801) 359-3244
Mailing address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 355-2846
(801) 359-3244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7604481-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7604481-8900
UT
Other
Enumeration date
05/31/2016
Last updated
09/22/2016
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