Individual
SUSAN LLOYD JELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5171 S COTTONWOOD ST # 305, MURRAY, UT 84107-5704
(801) 507-9310
Mailing address
538 N 750 E, BOUNTIFUL, UT 84010-2816
(480) 684-0550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206231-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
206231-3102
UT
Other
Enumeration date
08/02/2022
Last updated
02/07/2025
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