Individual
JESSE JEN TWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP NP-C
Contact information
Practice address
144 S 500 E, SALT LAKE CITY, UT 84102-1907
(801) 447-1485
Mailing address
138 E 12300 S STE C200, DRAPER, UT 84020-7976
(385) 215-9009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7672382-4405
UT
363LF0000X
Family Nurse Practitioner
7672382-4405
UT
Other
Enumeration date
06/21/2016
Last updated
02/27/2024
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