Individual
JENNIFER JENKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1403 E SEGO LILY DR, SANDY, UT 84092-4350
(801) 316-9620
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(801) 316-9620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223447-4405
UT
Other
Enumeration date
11/22/2013
Last updated
06/21/2021
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