Individual
JACOY SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
360 S 1300 W, PLEASANT GROVE, UT 84062-3761
(801) 360-5358
Mailing address
362 N 100 E, PAYSON, UT 84651-1806
(801) 360-5358
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
7994551-4405
UT
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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