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Individual

JONATHAN TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, PMHNP

Contact information

Practice address
1480 N 8000 W, SALT LAKE CITY, UT 84116-3961
(801) 522-7000
Mailing address
421 S ORCHARD DR UNIT 1324, NORTH SALT LAKE, UT 84054-1976
(806) 570-0532

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13811203-4405
UT

Other

Enumeration date
03/28/2024
Last updated
03/29/2024
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