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Individual

JENNIFER JETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
395 W COUGAR BLVD STE 102, PROVO, UT 84604-3334
(801) 357-8586
(801) 357-7786
Mailing address
395 W COUGAR BLVD STE 102, PROVO, UT 84604-3334
(801) 357-8586
(801) 357-7786

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13248644-1205
UT
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
13248644-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/08/2019
Last updated
12/20/2023
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