Jacqueline Michele Hansen, NP-C
Nurse Practitioner, Family in Draper, UT. Individual provider (NPI-1).
NPI number1336734862
StatusActive
Last updated in NPPESSep 5, 2023
Details
- NPI
- 1336734862
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Michele Hansen
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2021
- Certification date
- Sep 5, 2023
- Last updated
- Sep 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 8328984-4405 | UT | Yes |
Practice location
12473 S Minuteman DrDraper, UT 84020-7870
Phone 801-495-7970
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
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