Healthcare Provider Details

I. General information

NPI: 1346968377
Provider Name (Legal Business Name): JAYLIN ROGERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

474 W 200 N
ST GEORGE UT
84770-4505
US

IV. Provider business mailing address

474 W 200 N
ST GEORGE UT
84770-4505
US

V. Phone/Fax

Practice location:
  • Phone: 435-723-8228
  • Fax:
Mailing address:
  • Phone: 435-634-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: