Individual
DR. JADE ASHLEY WYATT
Active
Individual
DR. JADE ASHLEY WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11414337-1205
UT
208000000X
Pediatrics Physician
2021-01448
NC
2080P0205X
Pediatric Endocrinology Physician
Primary
DR.0073259
CO
Other
Enumeration date
04/23/2018
Last updated
02/05/2025
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