Individual
JODI ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1551 RENAISSANCE TOWNE DR STE 460, BOUNTIFUL, UT 84010-7672
(801) 200-2999
(385) 252-3338
Mailing address
1895 W DEEP CREEK RD, MORGAN, UT 84050-9621
(801) 391-8736
(385) 252-3338
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
374064-3102
UT
363LW0102X
Women's Health Nurse Practitioner
Primary
374064-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374064-4405
STATE LICENSE
UT
Enumeration date
03/24/2022
Last updated
09/03/2025
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