Individual
JORDAN MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, APRN
Contact information
Practice address
1132 E DRAPER PKWY, DRAPER, UT 84020-9095
(435) 447-4066
Mailing address
2232 W PINNACLE AVE, MAPLETON, UT 84664-3251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11267888-4405
UT
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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