Individual
JANE KOFFORD FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5848 S FASHION BLVD, MURRAY, UT 84107-6157
(801) 314-4025
Mailing address
5848 S FASHION BLVD, MURRAY, UT 84107-6157
(801) 641-0048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
203534-4405
UT
Other
Enumeration date
08/29/2017
Last updated
03/17/2018
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