Fowers, Jody Lynn
Fowers, Jody Lynn is an individual health care provider with primary practice located at 2950 N Church St Ste 200 , Layton UT 84040-6590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fowers, Jody Lynn can be contacted via phone (801) 771-7700.Contact Information
Primary practice address
2950 N Church St Ste 200
Layton UT 84040-6590
Phone: (801) 771-7700
Fax: (801) 771-7799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 263957-4405 | Utah |
Profile Details
| NPI number | 1992915052 |
|---|---|
| LBN Legal business name | Fowers, Jody Lynn |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Nov 25th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992915052 | NPPES |
| Utah | MEDICAID | 1992915052 |
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