Healthcare Provider Details

I. General information

NPI: 1508150855
Provider Name (Legal Business Name): JILLIAN JESSOP PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2011
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 W 9000 S
WEST JORDAN UT
84088-6728
US

IV. Provider business mailing address

1820 W 9000 S
WEST JORDAN UT
84088-6728
US

V. Phone/Fax

Practice location:
  • Phone: 801-562-4993
  • Fax: 801-562-4987
Mailing address:
  • Phone: 801-562-4993
  • Fax: 801-562-4987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5041367-1701
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5041367-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: