Individual
DEVEN RICHARD JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP-PMHNP
Contact information
Practice address
1788 N STATE ST, OREM, UT 84057-2025
(801) 369-8989
Mailing address
1289 N 3300 W, PROVO, UT 84601-1244
(541) 429-2722
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
9798101-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9798101-3102
UT
Other
Enumeration date
04/26/2021
Last updated
03/07/2023
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