Individual
JENNIFER HEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
565 KOMAS DRIVE, SALT LAKE CITY, UT 84121
(801) 584-5144
(801) 584-5206
Mailing address
565 KOMAS DRIVE, SALT LAKE CITY, UT 84108
(801) 584-5144
(801) 584-5206
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
328810-1206
UT
Other
Enumeration date
10/20/2009
Last updated
02/14/2019
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