Healthcare Provider Details

I. General information

NPI: 1083578652
Provider Name (Legal Business Name): MORGAN JENSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 W MAIN ST STE 207&201
LEHI UT
84043-2158
US

IV. Provider business mailing address

38 LONE HOLW
SANDY UT
84092-5530
US

V. Phone/Fax

Practice location:
  • Phone: 801-508-4150
  • Fax: 801-590-7003
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: