Organization
JTC ADVANCED PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANANNE JOHNSONTALBERT APRN (OWNER)
(801) 669-3425
Entity
Organization
Contact information
Practice address
270 S 1060 W, LINDON, UT 84042-1600
(801) 669-3425
Mailing address
270 S 1060 W, LINDON, UT 84042-1600
(801) 669-3425
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
8052012-0162
UT
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
Update your record
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