Individual
MS. JAMIE J CLINTON-LONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4385 ADONIS DR, SALT LAKE CITY, UT 84124-3434
(801) 424-1323
Mailing address
4385 ADONIS DR, SALT LAKE CITY, UT 84124-3434
(801) 424-1323
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
264094-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264094-4405
LICENSE NUMBER
UT
Enumeration date
07/23/2006
Last updated
07/08/2007
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