Individual
TIFFANY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10920 S RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-3538
(801) 302-2600
Mailing address
472 E 960 S, SALEM, UT 84653-4606
(801) 874-8912
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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