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NPI Code Detail

MEDICARE: JENNIFER MELINDA URCH FNP

MEDICARE: JENNIFER MELINDA URCH FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered Nurse95088181CA
2363LF0000XFamily Nurse Practitioner95027141CA
3363L00000XNurse Practitioner12394362-4405UT

General Provider Information

NPI Number : 1033995360
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MELINDA URCH FNP
Provider Business Mailing Address
First Line : 370 E 9TH AVE STE 106
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84103-3182
Country : US
Telephone Number : 801-408-5700
Fax Number :
Provider Business Practice Location Address
First Line : 370 E 9TH AVE STE 106
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84103-3182
Country : US
Telephone Number : 801-408-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2023
Last Update Date : 08/28/2025

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