Crafton, Jennifer

Crafton, Jennifer is an individual health care provider with primary practice located at 185 S 400 E Ste 100 , Bountiful UT 84010-4862. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Crafton, Jennifer can be contacted via phone (801) 397-6200.

Contact Information

Primary practice address
185 S 400 E Ste 100 Bountiful UT 84010-4862
Phone: (801) 397-6200
Fax: (801) 397-6201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4907081-4405 Utah

Profile Details

NPI number 1558826073
LBN Legal business name Crafton, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2019
Last updated Feb 8th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558826073 NPPES
Utah MEDICAID PENDING

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