Individual
JENNIFER CARTER MOSTELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1219 N 400 E, LOGAN, UT 84341-2321
(435) 565-6043
Mailing address
1219 N 400 E, LOGAN, UT 84341-2321
(801) 262-7246
(801) 262-3442
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9765586-4405
UT
Other
Enumeration date
03/20/2019
Last updated
01/06/2022
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