Individual
JACQUELINE MICHELE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
12473 S MINUTEMAN DR, DRAPER, UT 84020-7870
(801) 495-7970
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8328984-4405
UT
Other
Enumeration date
03/05/2021
Last updated
09/05/2023
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