Individual
JODY NEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 S HIGHLAND DR STE 230, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Mailing address
4460 S HIGHLAND DR STE 230, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
335648-3102
UT
363L00000X
Nurse Practitioner
Primary
335648-4405
UT
Other
Enumeration date
02/03/2021
Last updated
08/31/2021
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