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JACQUELINE SCHNEIBER PETTIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
585 W 500 S STE 130, BOUNTIFUL, UT 84010-8199
(203) 962-2562
Mailing address
86 W 1200 S, BOUNTIFUL, UT 84010-6339
(203) 962-2562

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8747557-4405
UT

Other

Enumeration date
10/03/2024
Last updated
01/09/2026
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