Jennifer Anne Whitehead in Bluffdale - Physician Assistant
Jennifer Anne Whitehead - NPI 1508040031
Jennifer Anne Whitehead is a Physician Assistant in Bluffdale, Utah. Jennifer Anne Whitehead practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Anne Whitehead is 1508040031. The last update date is 2021-08-12.
Jennifer Anne Whitehead's current location address is 1092 Pheasant Tail Dr, Bluffdale, Utah. You can contact this provider via phone number 8018169373 and fax number 8018169373. The mailing address for Jennifer Anne Whitehead is 1092 Pheasant Tail Dr, Bluffdale, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Anne Whitehead |
|---|---|
| Address | 1092 Pheasant Tail Dr, Bluffdale, Utah |
| Phone Number | 8018169373 |
| Fax Number | 8018169373 |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1508040031 |
|---|---|
| Provider Enumeration Date | 2007-12-19 |
| Last Updated Date | 2021-08-12 |
Provider Mailing Address Detail
| Address | 1092 Pheasant Tail Dr |
|---|---|
| City | Bluffdale |
| State | Utah (UT) |
| Post Code | 840655616 |
| Phone Number | 8018169373 |
| Fax Number | 8018169373 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 369498-1206 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jennifer Anne Whitehead by the Centers for Medicare & Medicaid Services?
The Jennifer Anne Whitehead has been issued the NPI (National Provider Identifier) 1508040031, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jennifer Anne Whitehead is located?
The Jennifer Anne Whitehead is situated at the following address: 1092 Pheasant Tail Dr, Bluffdale, UT, 840655616.
What is Jennifer Anne Whitehead's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jennifer Anne Whitehead is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508040031 to Jennifer Anne Whitehead?
The Centers for Medicare & Medicaid Services originally issued the 1508040031 to Jennifer Anne Whitehead on 2007-12-19.
As of what date were the Jennifer Anne Whitehead's details last updated?
The information pertaining to the Jennifer Anne Whitehead, including its address, specialty, and other details, was most recently updated on 2021-08-12.
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