Individual
JENNILYN MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 S MAIN ST STE B0001, BRIGHAM CITY, UT 84302-6795
(435) 239-8768
Mailing address
60 S MAIN ST STE B0001, BRIGHAM CITY, UT 84302-6795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
222707-3102
UT
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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