Individual
JESSICA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1086 N 1200 W, OREM, UT 84057-2840
(801) 226-5246
Mailing address
3071 E 7335 S, SALT LAKE CITY, UT 84121-4470
(801) 541-1915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
74901501206
UT
Other
Enumeration date
10/28/2009
Last updated
12/05/2012
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