Individual
WYLEE KYLE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
190 S HIGHWAY 165, PROVIDENCE, UT 84332-9512
(435) 755-3300
Mailing address
217 W 400 S, HYDE PARK, UT 84318-6702
(435) 881-0166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8336724-4405
UT
Other
Enumeration date
04/13/2023
Last updated
06/13/2023
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