Individual
JENIEL LOVELL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4145
Mailing address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
7053158-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7053158-4405
UTAH APRN NUMBER
UT
01
—
7053158-8900
CONTROLLED SUBSTANCE NUMBER
UT
Enumeration date
02/17/2014
Last updated
03/07/2023
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