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NPI Code Detail

MEDICARE: JENNIFER LYNN STEELE FNP-C

MEDICARE: JENNIFER LYNN STEELE FNP-C
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
1363L00000XNurse Practitioner8111571-4405UT
2363LF0000XFamily Nurse Practitioner8111571-4405UT

General Provider Information

NPI Number : 1790594265
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN STEELE FNP-C
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5121 S COTTONWOOD ST
Second Line :
City : MURRAY
State : UT
Zip : 84107-5701
Country : US
Telephone Number : 801-507-3462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2024
Last Update Date : 03/20/2026

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