MS. Jennifer Anne Whitehead, PHYSICIANASSISTANT
MS. Jennifer Anne Whitehead, PHYSICIANASSISTANT is a Physician Assistant in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2007.
- Licensed in
- UT
- In the registry since
- 2007
Practice location Address checks out
100 N Medical DrSalt Lake City, UT 84113-1103
Phone: (801) 662-4100
Fax: (801) 662-4166
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 369498-1206 (UT) |
|---|
Record details
| NPI number | 1508040031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | December 19, 2007 |
| Last updated in NPPES | August 12, 2021 |
| Certification date | August 12, 2021 |
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