Individual
BRADLEY F JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
210 W 300 N 75-3, ROOSEVELT, UT 84066
(435) 722-3971
(735) 722-6104
Mailing address
210 W 300 N 75-3, ROOSEVELT, UT 84066
(435) 722-3971
(735) 722-6104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
02006314405
UT
Other
Enumeration date
03/31/2006
Last updated
12/06/2007
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