Individual
JENNY ANN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
477 23RD ST, OGDEN, UT 84401-1507
(801) 399-7267
Mailing address
477 23RD ST, OGDEN, UT 84401-1507
(801) 399-7267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7654040-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529949454073
—
UT
05
—
876000308011
—
UT
05
—
998877666002
—
UT
05
—
U000094010
—
UT
Enumeration date
11/19/2018
Last updated
11/30/2018
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