Individual
JESSICA LAKE ROSEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
911 ASHLEY CIR, BOUNTIFUL, UT 84010-3206
(801) 884-3280
Mailing address
911 ASHLEY CIR, BOUNTIFUL, UT 84010-3206
(801) 884-3280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5905489-4405
UT
Other
Enumeration date
08/14/2021
Last updated
08/14/2021
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