Individual
JENNIFER J CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-4000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61509664405
UT
Other
Enumeration date
08/02/2006
Last updated
12/18/2014
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