Individual
MRS. JESSE NICHOLE VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(385) 500-3788
Mailing address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(385) 500-3788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11775743-3102
UT
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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