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NPI Code Detail

MEDICARE: JENICE VIVIAN PRICE

MEDICARE: JENICE VIVIAN PRICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1073499604
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENICE VIVIAN PRICE
Provider Business Mailing Address
First Line : 3883 W SAGE MEADOW DR
Second Line :
City : SOUTH JORDAN
State : UT
Zip : 84009-3985
Country : US
Telephone Number : 435-229-3245
Fax Number :
Provider Business Practice Location Address
First Line : 7465 W LAKE MEAD BLVD STE 223
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-1033
Country : US
Telephone Number : 435-215-8283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2025
Last Update Date : 02/17/2026

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Directions to “ JENICE VIVIAN PRICE ” Practice Location

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