Individual
JACQUELINE NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-7606
Mailing address
26 N 1900 E, WINTROBE BUILDING, ROOM 701, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
13050381-4405
UT
363LC0200X
Critical Care Medicine Nurse Practitioner
13050381-4405
UT
Other
Enumeration date
10/05/2022
Last updated
01/08/2023
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