Organization
PEGGY JEROME LLC
Active
Other names
Peggy Jerome, APRN
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY JEROME APRN (OWNER)
(801) 568-2898
Entity
Organization
Contact information
Practice address
8537 REDWOOD RD, STE. A - MAIN LEVEL, WEST JORDAN, UT 84088-9311
(801) 568-2898
(801) 568-2891
Mailing address
8537 REDWOOD RD, STE. A - MAIN LEVEL, WEST JORDAN, UT 84088-9311
(801) 568-2898
(801) 568-2891
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
2788254405
UT
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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