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Individual

MCKENNA IRENE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C, DNP, APRN

Contact information

Practice address
10654 S RIVER HEIGHTS DR STE 210, SOUTH JORDAN, UT 84095-5541
(801) 335-6728
Mailing address
10654 S RIVER HEIGHTS DR STE 210, SOUTH JORDAN, UT 84095-5541
(801) 569-1456
(801) 565-7931

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
12646883-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
12646883-4405
UT

Other

Enumeration date
06/10/2024
Last updated
11/24/2025
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