Individual
JORDYN ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
45 W SEGO LILY DR STE 312, SANDY, UT 84070-3643
(801) 676-9452
Mailing address
45 W SEGO LILY DR STE 312, SANDY, UT 84070-3643
(801) 676-9452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NUR-RN-LIC-159953
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14080467-4405
UT
Other
Enumeration date
08/24/2022
Last updated
09/11/2024
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