Individual
JODI LYN PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1416 NORTH MAIN ST, STE 1B, SPANISH FORK, UT 84660
(385) 518-0403
(385) 518-0466
Mailing address
1416 NORTH MAIN ST, STE 1B, SPANISH FORK, UT 84660
(385) 518-0403
(385) 518-0466
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7992533-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
7992533-4405
UT
Other
Enumeration date
07/15/2024
Last updated
02/28/2025
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