Individual
JESSIANN ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-3021
(801) 581-2121
Mailing address
637 S BRIXEN CT, SALT LAKE CITY, UT 84102-3909
(435) 590-3312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6377270-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
6377270-1206
UT
Other
Enumeration date
09/05/2013
Last updated
10/16/2021
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