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General NPI Number Information
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NPI Number | 1093579740
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Entity Type | Individual
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Provider Name | BRYNN JENKINS JORGENSEN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 138 E 12300 S UNIT 657
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City | DRAPER
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State | UT
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Zip | 84020-7976
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Country | US
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Telephone | 801-696-9459
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Fax | 385-525-3732
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Provider Business Mailing Address
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Address Line | 138 E 12300 S UNIT 657
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City | DRAPER
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State | UT
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Zip | 84020-7976
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Country | US
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Telephone | 801-696-9459
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Fax | 385-525-3732
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9043364-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 9043364-3102
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License Number State | UT
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