Doctor Name: | JENNIFER ASHTON |
NPI Number: | 1013324508 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 15918 |
Business Practice Address: | 1268 W South Jordan Pkwy South Jordan, UT - 840954652 |
Business Phone Number: | 8012549700 |
Business Fax Number: | |
Mailing Address: | 449 S Parkview Dr, NORTH SALT LAKE |
State: | UT |
Postal Code: | 840540170 |
Phone Number: | 8015029355 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2014 |
NPI Last Update Date: | 06/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 15918 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |