Individual
JESS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3665 S 8400 W, MAGNA, UT 84044-4907
(801) 250-9638
Mailing address
3665 S 8400 W, MAGNA, UT 84044-4907
(801) 250-9638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4985757-4405
UT
Other
Enumeration date
08/05/2014
Last updated
10/16/2021
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