Organization
CANYON CREEK HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENTRY CORA MCKELL NP (NURSE PRACTIONER)
(801) 310-5878
Entity
Organization
Contact information
Practice address
245 E 400 S, SPRINGVILLE, UT 84663-1957
(385) 543-5266
(385) 503-2493
Mailing address
245 E 400 S, SPRINGVILLE, UT 84663-1957
(385) 543-5266
(385) 503-2493
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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