Individual
MRS. JESSINNA NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
722 SHEPARD LN STE 102, FARMINGTON, UT 84025-3845
(385) 988-3965
Mailing address
55 S 2300 W, KAYSVILLE, UT 84037-5404
(801) 602-1981
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5798263-4405
UT
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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