Individual
JENNIFER CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
801 N 500 W STE 101, WEST BOUNTIFUL, UT 84010-6847
(770) 634-4603
Mailing address
161 W 1875 N, OGDEN, UT 84414-7261
(770) 634-4603
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11313919-4405
UT
Other
Enumeration date
07/02/2024
Last updated
08/07/2025
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