Organization
JSA NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM PARKER (PRESIDENT)
(714) 317-7065
Entity
Organization
Contact information
Practice address
12966 S SPARROW HAWK LN, HERRIMAN, UT 84096-5735
(714) 317-7065
Mailing address
138 E 12300 S # 282, DRAPER, UT 84020-7976
(714) 317-7065
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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