Individual
LU ANN JACOBS-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP
Contact information
Practice address
2376 N 400 E STE 205, TOOELE, UT 84074-3413
(435) 882-8111
(435) 882-2111
Mailing address
14540 S MAJESTIC OAKS LN, HERRIMAN, UT 84096-3645
(801) 232-1998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
219855-4405
UT
363LF0000X
Family Nurse Practitioner
219855-4405
UT
Other
Enumeration date
04/09/2008
Last updated
04/25/2025
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