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NPI Code Detail

MEDICARE: JESSICA AIMEE FURNER BSW

MEDICARE: JESSICA AIMEE FURNER BSW
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 : 1124629597
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA AIMEE FURNER BSW
Provider Business Mailing Address
First Line : 66 E STATE RD
Second Line :
City : PLEASANT GROVE
State : UT
Zip : 84062-2637
Country : US
Telephone Number : 801-876-0036
Fax Number :
Provider Business Practice Location Address
First Line : 66 E STATE RD
Second Line :
City : PLEASANT GROVE
State : UT
Zip : 84062-2637
Country : US
Telephone Number : 801-876-0036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2020
Last Update Date : 05/26/2026

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Directions to “ JESSICA AIMEE FURNER BSW” Practice Location

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