Individual
JILL ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3732 BARI WAY, B202, SOUTH JORDAN, UT 84095-5590
(801) 691-8731
(801) 963-6945
Mailing address
3732 BARI WAY, B202, SOUTH JORDAN, UT 84095-5590
(801) 691-8731
(801) 963-6945
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
5411624-3102
UT
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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