Individual
JENNIFER LYNNE GLAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12391 S 4000 W, RIVERTON, UT 84096-7012
(801) 302-1700
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8708402-1206
UT
363AM0700X
Medical Physician Assistant
Primary
8708402-1206
UT
Other
Enumeration date
07/02/2013
Last updated
01/08/2026
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