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Individual

SHANNON ANNE FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1309 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-9001
(801) 839-5557
Mailing address
6166 W KEN CV, HERRIMAN, UT 84096-3972
(817) 602-9240

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77907154405
UT

Other

Enumeration date
10/31/2023
Last updated
10/31/2023
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