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General NPI Number Information
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NPI Number | 1225526460
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Entity Type | Individual
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Provider Name | JAMISON ANNE HARVEY MD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 2075 UNIVERSITY PARK BLVD
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City | LAYTON
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State | UT
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Zip | 84041-1611
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Country | US
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Telephone | 801-779-6300
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Fax | 801-779-6349
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Provider Business Mailing Address
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Address Line | PO BOX 27128
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City | SALT LAKE CITY
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State | UT
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Zip | 84127-0128
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Country | US
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Telephone |
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Fax |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 59197
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R76755
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 13951000-1205
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License Number State | UT
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