Individual
JACLYNN WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 E 3900 S STE 200, SALT LAKE CITY, UT 84107-2332
(801) 747-2800
Mailing address
470 E 3900 S STE 200, SALT LAKE CITY, UT 84107-2332
(801) 747-2800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6632483-4405
UT
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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