Individual
JILL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 N STATE ST, OREM, UT 84057-2025
(801) 224-8255
Mailing address
1271 FORT LN, PLEASANT GROVE, UT 84062-3207
(801) 557-9576
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024043405
UT
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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