Individual
JODY LYNN FOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2950 N CHURCH ST STE 200, LAYTON, UT 84040-6590
(801) 771-7700
(801) 771-7799
Mailing address
PO BOX 281221, ATLANTA, GA 30384-1221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
263957-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992915052
—
UT
Enumeration date
05/23/2007
Last updated
11/25/2020
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