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Jennifer M Ericson, PA-C
Surgical Physician Assistant in Salt Lake City, Utah
NPI 1740874510

Jennifer M Ericson is a Surgical Physician Assistant based in Salt Lake City, UT and is specialized in Surgical. Jennifer M Ericson practices in Salt Lake City, UT and has the professional credentials of PA-C. The NPI Number for Jennifer M Ericson is 1740874510 and holds a License No. (Utah).

The current practice location address for Jennifer M Ericson is 50 N Medical Dr, Salt Lake City, UT and can be reached out via phone at 801-581-2121.

Location: 50 N Medical Dr, Salt Lake City, UT, 84103-3110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740874510
Provider Name
Jennifer M Ericson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
50 N Medical Dr, Salt Lake City, UT, 84103-3110
Phone Number
801-581-2121
Fax Number
Provider Enumeration Date
02/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12118129-1206 01 UT PHYSICIAN ASSISTANT STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
50 N Medical Dr
City
Salt Lake City
State
Utah
Zip
84132-0001
Phone Number
801-581-2121
Fax Number
person
Provider Business Mailing Address Details
Address
50 N Medical Dr
City
Salt Lake City
State
Utah
Zip
84132-0001
Phone Number
801-581-2121
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
12118129-1206 (Utah)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
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Definition
Definition to come...
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