Individual
JEAN C BRAMBLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1141 E 3900 S, A-170, SALT LAKE CITY, UT 84124-1215
(801) 284-4990
(801) 284-4991
Mailing address
1402 S 1400 E, SALT LAKE CITY, UT 84105-2624
(801) 582-5054
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
213311-4405
UT
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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