Individual
MS. JENNIFER ANNE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
(801) 662-4166
Mailing address
1092 PHEASANT TAIL DR, BLUFFDALE, UT 84065-5616
(801) 816-9373
(801) 816-9373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
369498-1206
UT
Other
Enumeration date
12/19/2007
Last updated
08/12/2021
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