Individual
JENNICA MARLEE MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 S 400 E STE 404, ST GEORGE, UT 84770-7065
(435) 656-8918
Mailing address
348 E 4500 S, STE 220, SALT LAKE CITY, UT 84107-8524
(801) 577-7055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104167604405
UT
Other
Enumeration date
03/08/2021
Last updated
07/19/2023
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