| Jtc Advanced Practice | |
|
270 S 1060 W Lindon UT 84042-1600 | |
| (801) 669-3425 | |
| Not Available |
| Full Name | Jtc Advanced Practice |
|---|---|
| Speciality | Clinic/center |
| Location | 270 S 1060 W, Lindon, Utah |
| Authorized Official Name and Position | Jeananne Johnsontalbert (OWNER) |
| Authorized Official Contact | 8016693425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jtc Advanced Practice 270 S 1060 W Lindon UT 84042-1600 Ph: (801) 669-3425 | Jtc Advanced Practice 270 S 1060 W Lindon UT 84042-1600 Ph: (801) 669-3425 |
| NPI Number | 1669826749 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669826749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 8052012-0162 (Utah) | Primary |
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