Individual
JORDAN ROBERT COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1756 W ANTELOPE DR, LAYTON, UT 84041-1143
(801) 773-4840
Mailing address
1777 N CELIA WAY, LAYTON, UT 84041-4904
(801) 815-8897
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6179909-4405
UT
Other
Enumeration date
12/25/2023
Last updated
12/27/2023
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