Individual
CAITLYN ROSE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
26 W MAIN ST STE 3A, HYRUM, UT 84319-1293
(435) 245-6248
(435) 245-3637
Mailing address
26 W MAIN ST STE 3A, HYRUM, UT 84319-1293
(435) 245-6248
(435) 245-3637
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9860392-1206
UT
Other
Enumeration date
07/06/2016
Last updated
06/16/2023
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