Jolene Lalliss Johnson N.N.P.

NPI 1336322627 - Nurse Practitioner - 363LN0000X

NPI Details
NPI 1336322627
Gender Female
Enumeration Date 12/10/2007
Last Updated 12/10/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
100 N MEDICAL DR
SALT LAKE CITY UT, 84113-1103, US
Phone (801) 662-4100
Fax
Business Location
583 N 200 E
BOUNTIFUL UT, 84010-4642, US
Phone (801) 296-2624
Fax
Toxanomy
Taxonomy Code 363LN0000X
License State Utah
License Number 3221574405
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According to our database, Mrs. Jolene Lalliss Johnson N.N.P. NPI is 1336322627, taxonomy code is 363LN0000X and license number is 3221574405, license state is located at Utah. Jolene Lalliss Johnson N.N.P. physically located at 100 N Medical Dr, Salt Lake City UT, 84113-1103. NPI Number Jolene Lalliss Johnson N.N.P. has the Individual type.

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1336322627 NPI number is provided on an as is basis without warranty of any kind. 1336322627 is maintained by the National Plan & Provider Enumeration System. The contents of Jolene Lalliss Johnson N.N.P. are for informational purposes only.