Individual
JAMIS LEEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5600 HERITAGE SCHOOL DR, PROVO, UT 84604-7701
(801) 226-4659
Mailing address
662 N 550 E, OREM, UT 84097-4133
(801) 687-1213
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8122513-4405
UT
Other
Enumeration date
06/22/2016
Last updated
06/01/2022
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