Individual
JENELLE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5171 S COTTONWOOD ST STE 810, SALT LAKE CITY, UT 84107-5705
(801) 507-9800
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8684571-4405
UT
Other
Enumeration date
04/26/2023
Last updated
10/18/2024
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