Individual
JENNIFER LEIGH MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1064 E BAMBERGER DR, AMERICAN FORK, UT 84003-5504
(801) 332-9151
Mailing address
1064 E BAMBERGER DR, AMERICAN FORK, UT 84003-5504
(801) 332-9151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7677457-1206
UT
363A00000X
Physician Assistant
Primary
76774571206
UT
Other
Enumeration date
09/17/2014
Last updated
04/29/2024
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