Healthcare Provider Details

I. General information

NPI: 1982282745
Provider Name (Legal Business Name): JAMIE DUKE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 E 5900 S STE A106
MURRAY UT
84107-7268
US

IV. Provider business mailing address

9729 S KALINA WAY APT 105
SANDY UT
84092-1231
US

V. Phone/Fax

Practice location:
  • Phone: 801-923-2397
  • Fax:
Mailing address:
  • Phone: 801-231-3326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12868443-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: