Healthcare Provider Details

I. General information

NPI: 1437074754
Provider Name (Legal Business Name): JENNIFER S PRICE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

389 S 900 E # 100
SALT LAKE CITY UT
84102-2310
US

IV. Provider business mailing address

10808 S RIVER FRONT PKWY STE 400
SOUTH JORDAN UT
84095-5761
US

V. Phone/Fax

Practice location:
  • Phone: 385-347-5500
  • Fax:
Mailing address:
  • Phone: 801-262-9494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number8377625-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: