Healthcare Provider Details

I. General information

NPI: 1811820806
Provider Name (Legal Business Name): ANNA ELIZA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN UT
84095-5519
US

IV. Provider business mailing address

1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN UT
84095-5519
US

V. Phone/Fax

Practice location:
  • Phone: 801-388-0697
  • Fax: 801-302-7248
Mailing address:
  • Phone: 801-388-0697
  • Fax: 801-302-7248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14290034-3502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: