Individual
JENNIFER J. PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, NNP-BC
Contact information
Practice address
2818 W 12875 S, RIVERTON, UT 84065-6837
(801) 232-6595
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
(801) 662-4166
Taxonomy
Speciality
Code
Description
License number
State
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
289188-4405
UT
Other
Enumeration date
11/22/2015
Last updated
09/29/2021
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