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Mrs. Jolene Lalliss Johnson, NNP
Neonatal Nurse Practitioner in Salt Lake City, Utah
NPI 1336322627

Jolene Lalliss Johnson is a Neonatal Nurse Practitioner based in Bountiful, UT and is specialized in Neonatal. Jolene Lalliss Johnson practices in Salt Lake City, UT and has the professional credentials of NNP. The NPI Number for Jolene Lalliss Johnson is 1336322627 and holds a License No. 3221574405 (Utah).

The current practice location address for Jolene Lalliss Johnson is 100 N Medical Dr, Salt Lake City, UT and can be reached out via phone at 801-662-4100.

Location: 100 N Medical Dr, Salt Lake City, UT, 84010-4642
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Provider Profile Details
NPI Number
1336322627
Provider Name
Jolene Lalliss Johnson
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
100 N Medical Dr, Salt Lake City, UT, 84010-4642
Phone Number
801-662-4100
Fax Number
Provider Enumeration Date
12/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 N Medical Dr
City
State
Zip
84113-1103
Phone Number
801-662-4100
Fax Number
person
Provider Business Mailing Address Details
Address
100 N Medical Dr
City
State
Zip
84113-1103
Phone Number
801-662-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
3221574405 (Utah)
Definition
Definition to come...
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