| Mrs Jennifer Pruitt Knight, APRN | |
|
1600 Snow Creek Dr, Park City, UT 84060-7372 | |
| (435) 655-0055 | |
| (435) 655-8979 |
| Full Name | Mrs Jennifer Pruitt Knight |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1600 Snow Creek Dr, Park City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578746996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3083705-4405 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Pruitt Knight, APRN Po Box 198560, Atlanta, GA 30384-8560 Ph: () - | Mrs Jennifer Pruitt Knight, APRN 1600 Snow Creek Dr, Park City, UT 84060-7372 Ph: (435) 655-0055 |
Matthew Weston Pommerville, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Snow Creek Dr, Park City, UT 84060 Phone: 435-655-0055 Fax: 435-655-8979 | |
Marilyn Jean Klein, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Bonanza Dr, Park City, UT 84060 Phone: 435-649-5989 Fax: 435-649-5991 | |
Heather Ann Darling, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Round Valley Dr, 250, Park City, UT 84060 Phone: 435-333-3535 Fax: 435-333-3536 | |
Beth Silvero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Round Valley Dr, Park City, UT 84060 Phone: 435-333-1850 | |
Brandilyn Rolfe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2629 Cottage Ct, Park City, UT 84098 Phone: 404-201-0666 | |
Kelsey Rose Janusch, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 | |
Mrs. Erin Hanson Doppelheuer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Hollyhock St, Park City, UT 84098 Phone: 703-966-4255 |