Individual
MRS. JILL HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
632 HAYLIE LN, TOOELE, UT 84074-4118
(435) 841-1157
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
349607-3102
UT
Other
Enumeration date
04/01/2010
Last updated
05/23/2012
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