Individual
JENNY LYNN GIBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14629 S PORTER ROCKWELL BLVD STE 102, BLUFFDALE, UT 84065-1968
(801) 410-1100
(844) 689-3196
Mailing address
14629 S PORTER ROCKWELL BLVD STE 102, BLUFFDALE, UT 84065-1968
(801) 410-1100
(844) 689-3196
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13104031-4405
UT
Other
Enumeration date
12/18/2025
Last updated
02/13/2026
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