Individual
KEILA RAE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1088 E CLIFF SIDE CT, SANDY, UT 84094-7242
(801) 663-4824
Mailing address
1088 E CLIFF SIDE CT, SANDY, UT 84094-7242
(801) 663-4824
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
9259955-4405
UT
Other
Enumeration date
08/24/2022
Last updated
10/15/2023
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