Organization
WHITE SAGE WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYNNE JORDAN RN (OFFICE MANAGER)
(801) 234-9428
Entity
Organization
Contact information
Practice address
521 W CENTER ST, PLEASANT GROVE, UT 84062-2215
(801) 234-9428
(801) 899-2459
Mailing address
521 W CENTER ST, PLEASANT GROVE, UT 84062-2215
(801) 234-9428
(801) 899-2459
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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