Individual
MRS. JENESSA WILSON GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
395 W BULLDOG BLVD, PROVO, UT 84604-3311
(801) 357-7081
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11734006-1206
UT
363A00000X
Physician Assistant
6044
AZ
Other
Enumeration date
03/10/2014
Last updated
11/19/2025
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