Individual
JILL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 213-3900
Mailing address
PO BOX 1674, SALT LAKE CITY, UT 84110-1674
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
210464-4402
UT
Other
Enumeration date
10/13/2006
Last updated
11/15/2021
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