Jackie Anne Fonua in West Jordan - Family Medicine

Jackie Anne Fonua - NPI 1336227206

Jackie Anne Fonua is a Family Medicine in West Jordan, Utah. Jackie Anne Fonua practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jackie Anne Fonua is 1336227206. The last update date is 2007-07-08.

Jackie Anne Fonua's current location address is 3354 W 7800 S, West Jordan, Utah. You can contact this provider via phone number 8012822677 and fax number 8012822050. The mailing address for Jackie Anne Fonua is 3354 W 7800 S, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Jackie Anne Fonua
Address 3354 W 7800 S, West Jordan, Utah
Phone Number 8012822677
Fax Number 8012822050
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1336227206
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3354 W 7800 S
City West Jordan
State Utah (UT)
Post Code 840884506
Phone Number 8012822677
Fax Number 8012822050

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 175335-1206
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Jackie Anne Fonua

What is the unique 10-digit identification code issued to Jackie Anne Fonua by the Centers for Medicare & Medicaid Services?

The Jackie Anne Fonua has been assigned the NPI (National Provider Identifier) 1336227206 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Jackie Anne Fonua's physical address?

The Jackie Anne Fonua is physically located at 3354 W 7800 S, in the city of West Jordan, UT, with the postal code 840884506.

What is the Jackie Anne Fonua's area of specialization and corresponding taxonomy classification?

The Jackie Anne Fonua's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1336227206 assigned to Jackie Anne Fonua?

The Jackie Anne Fonua was issued its 1336227206 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jackie Anne Fonua, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jackie Anne Fonua, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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