Individual
JENNIFER FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 N MARIO CAPECCHI DR, NEONATOLOGY, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
48753964405
UT
363L00000X
Nurse Practitioner
84937
NM
363LN0000X
Neonatal Nurse Practitioner
Primary
84937
NM
Other
Enumeration date
12/08/2015
Last updated
08/29/2025
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