Fonua, Jackie Anne

Fonua, Jackie Anne is an individual health care provider with primary practice located at 3354 W 7800 S , West Jordan UT 84088-4506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fonua, Jackie Anne can be contacted via phone (801) 282-2677.

Contact Information

Primary practice address
3354 W 7800 S West Jordan UT 84088-4506
Phone: (801) 282-2677
Fax: (801) 282-2050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 175335-1206 Utah

Profile Details

NPI number 1336227206
LBN Legal business name Fonua, Jackie Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
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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