Individual
JENNY FARLEY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4179 S MONARCH WAY, SALT LAKE CITY, UT 84124-3168
(801) 230-0036
Mailing address
4179 S MONARCH WAY, SALT LAKE CITY, UT 84124-3168
(801) 230-0036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7292949-4405
UT
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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