Individual
MRS. JENAE W. PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN WITHOUT PP
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7376
Mailing address
2804 N 760 E, PROVO, UT 84604-4086
(801) 377-4955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
194652-9938
UT
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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