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Individual

MRS. JENNIFER ROSE BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
80 S FAIRGROUND RD, PRICE, UT 84501-4202
(435) 636-3739
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
373479-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
373479-4405
UT

Other

Enumeration date
08/15/2022
Last updated
03/10/2025
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