Individual
JEREMY BERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
96 E KIMBALLS LN STE 408, DRAPER, UT 84020-5021
(801) 676-7627
(801) 676-7629
Mailing address
96 E KIMBALLS LN STE 408, DRAPER, UT 84020-5021
(801) 676-7627
(801) 676-7629
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5377200-4408
UT
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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