Individual
JENIFER ALICE COSENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8TH AVE & C ST, SALT LAKE CITY, UT 84143-5701
(801) 408-8550
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-8550
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
9089318-4405
UT
Other
Enumeration date
06/28/2022
Last updated
02/02/2023
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