Individual
MS. JEANIE COLBERT O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-1298
Mailing address
2553 VILLAGE CIR, SALT LAKE CITY, UT 84108-2439
(801) 583-0842
(801) 584-1298
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
190548-4405
UT
Other
Enumeration date
06/20/2006
Last updated
09/07/2023
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