Individual
JESSICA COFFENDAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2655 W 9000 S, WEST JORDAN, UT 84088-8542
(801) 256-6399
Mailing address
6862 S TRIUMPH LN, WEST JORDAN, UT 84084-5046
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11413946-4405
UT
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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