Healthcare Provider Details

I. General information

NPI: 1447139233
Provider Name (Legal Business Name): JENNIFER MYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER CHALMERS

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W VINE ST
MURRAY UT
84107-4766
US

IV. Provider business mailing address

3066 N INDIGO LOOP
LAYTON UT
84040-6628
US

V. Phone/Fax

Practice location:
  • Phone: 888-517-8377
  • Fax:
Mailing address:
  • Phone: 435-225-2473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: