Organization Name: | RACHEL JENKINS-LLOYD, APRN |
NPI Number: | 1023412673 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RACHEL JENKINS-LLOYD (OWNER) |
Mailing Address: | 684 E Vine St Suite 4a Murray |
State: | UT US |
Postal Code: | 841075548 |
Phone Number: | 3857438838 |
Fax Number: | 8012937106 |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |