Individual
JESICA JENSEN
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) 507-7000
Mailing address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5651985-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
5651985-4405
UT
Other
Enumeration date
04/23/2014
Last updated
02/10/2022
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