Individual
JESSICA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.R.N
Contact information
Practice address
389 S 900 E, SLC, UT 84102-2310
(385) 282-2000
Mailing address
6572 S IVORY CIR, TAYLORSVILLE, UT 84129-6802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7730292-4405
UT
Other
Enumeration date
06/30/2015
Last updated
11/03/2021
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