| Doctor Name: | RACHELLE JELOSEK |
| NPI Number: | 1023459393 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN NP-C |
| License Number: | 6298718-4405 |
| Business Practice Address: | 5171 S Cottonwood St Suite 810 Murray, UT - 841075704 |
| Business Phone Number: | 8015079859 |
| Business Fax Number: | |
| Mailing Address: | 5171 S Cottonwood St, Suite 810 MURRAY |
| State: | UT |
| Postal Code: | 841075704 |
| Phone Number: | 8015079859 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2013 |
| NPI Last Update Date: | 02/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 6298718-4405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |