Whitehead, Jennifer Anne

Whitehead, Jennifer Anne is an individual health care provider with primary practice located at 100 N Medical Dr , Salt Lake City UT 84113-1103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Whitehead, Jennifer Anne can be contacted via phone (801) 662-4100.

Contact Information

Primary practice address
100 N Medical Dr Salt Lake City UT 84113-1103
Phone: (801) 662-4100
Fax: (801) 662-4166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 369498-1206 Utah

Profile Details

NPI number 1508040031
LBN Legal business name Whitehead, Jennifer Anne
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2007
Last updated Aug 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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