MEDICARE: JENNIFER LYN ARAGON A.P.R.N.

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
1	363LF0000X	Family Nurse Practitioner	290041-4405	UT

General Provider Information

NPI Number	:	1073963922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYN ARAGON A.P.R.N.

Provider Business Mailing Address
First Line	:	9980 S 300 W STE 200
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-3654
Country	:	US
Telephone Number	:	385-495-4151
Fax Number	:

Provider Business Practice Location Address
First Line	:	9980 S 300 W STE 200
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-3654
Country	:	US
Telephone Number	:	385-495-4151
Fax Number	:	844-596-0409

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	01/17/2020

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Directions to “ JENNIFER LYN ARAGON A.P.R.N.” Practice Location

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