Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer L Nissenbaum

Individual provider Registered Nurse · NPI 1326901620

Jennifer L Nissenbaum is a Registered Nurse in Park City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2025

Practice location Address checks out

8117 Courtyard Loop Apt 12
Park City, UT 84098-4768
Phone: (614) 581-2325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 9019613-3102 (UT)

Record details

NPI number1326901620
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 4, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

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