MEDICARE: JENNY D HARPER

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	163W00000X	Registered Nurse	210588-3102	UT

General Provider Information

NPI Number	:	1184844367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY D HARPER

Provider Business Mailing Address
First Line	:	655 E 1300 N
Second Line	:
City	:	LOGAN
State	:	UT
Zip	:	84341
Country	:	US
Telephone Number	:	435-792-6500
Fax Number	:	435-792-6600

Provider Business Practice Location Address
First Line	:	655 E 1300 N
Second Line	:
City	:	LOGAN
State	:	UT
Zip	:	84341
Country	:	US
Telephone Number	:	435-792-6500
Fax Number	:	435-792-6600

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

Provider Enumeration Date	:	04/27/2007
Last Update Date	:	03/22/2026

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Directions to “ JENNY D HARPER ” Practice Location

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