Individual
JENNIFER AILEEN WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5169 S COTTONWOOD ST STE 440, MURRAY, UT 84107-6774
(801) 507-3915
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7984091-1206
UT
Other
Enumeration date
10/22/2013
Last updated
02/21/2025
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