Individual
JEROMY FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1712 W 1210 S, PAYSON, UT 84651-3183
(801) 822-6963
Mailing address
1712 W 1210 S, PAYSON, UT 84651-3183
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10738127-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
10738127-4405
UT
Other
Enumeration date
02/10/2026
Last updated
03/05/2026
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