Individual
JENNIFER HOLT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
74 E 11800 S STE 360, DRAPER, UT 84020-5006
(801) 260-3687
(801) 260-3688
Mailing address
74 E 11800 S STE 360, DRAPER, UT 84020-5006
(801) 260-3687
(801) 260-3688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7114800-1206
UT
363A00000X
Physician Assistant
7114800-8906
UT
Other
Enumeration date
09/25/2008
Last updated
11/05/2015
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