Individual
CHRISTA ANN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PNP, RN
Contact information
Practice address
100 MARIO CAPECCHI DR, SUITE 2650, SALT LAKE CITY, UT 84113-1103
(801) 662-2905
Mailing address
100 MARIO CAPECCHI DR, SUITE 2650, SALT LAKE CITY, UT 84113-1103
(801) 662-2905
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
7583291-4405
UT
Other
Enumeration date
09/07/2008
Last updated
01/30/2024
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