Individual
JENNIFER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, DNP
Contact information
Practice address
5089 W DUCKHORN DR, SOUTH JORDAN, UT 84009-8145
(801) 362-4227
Mailing address
5089 W DUCKHORN DR, SOUTH JORDAN, UT 84009-8145
(801) 362-4227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7014826-4405
UT
Other
Enumeration date
05/12/2021
Last updated
10/15/2025
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