Individual
MCCALL JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
555 W SR 164, SALEM, UT 84653
(801) 465-4896
(801) 465-0606
Mailing address
PO BOX 30079, SALT LAKE CITY, UT 84130-0079
(801) 375-8858
(801) 429-8180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8339669-4405
UT
Other
Enumeration date
07/18/2023
Last updated
09/25/2023
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