Organization
JENNIFER W. ANDERSON
Active
Organization
JENNIFER W. ANDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER WILLIAMS ANDERSON FNP (OWNER)
(801) 634-5366
Entity
Organization
Contact information
Practice address
8006 S MOUNTAIN OAKS DR, SALT LAKE CITY, UT 84121-5921
(801) 634-5366
Mailing address
PO BOX 150173, OGDEN, UT 84415-0173
(801) 479-0601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
198045-4405
UT
Other
Enumeration date
11/07/2007
Last updated
06/06/2013
Update your record
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