Individual
JANICE M TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-3781
Mailing address
PO BOX 742353, ATLANTA, GA 30374-2353
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
377875-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10015740
OR
Other
Enumeration date
12/21/2018
Last updated
12/19/2023
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