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Individual

LEEANN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
295486-4405
UT
363LF0000X
Family Nurse Practitioner
295486-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164672770
UT
01
295486-4408
LICENSE
UT
Enumeration date
07/01/2008
Last updated
11/20/2025
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