Booth, Jennifer Ann

Booth, Jennifer Ann is an individual health care provider with primary practice located at 920 N 500 W , Provo UT 84604-3339. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Booth, Jennifer Ann can be contacted via phone (801) 374-1801.

Contact Information

Primary practice address
920 N 500 W Provo UT 84604-3339
Phone: (801) 374-1801
Fax: (801) 375-0369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 355247-4405 Utah

Profile Details

NPI number 1821114505
LBN Legal business name Booth, Jennifer Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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