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NPI Code Detail

MEDICARE: JUN LIN FNP-C

MEDICARE: JUN LIN FNP-C
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
1363L00000XNurse Practitioner10212010-4405UT

General Provider Information

NPI Number : 1053065847
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUN LIN FNP-C
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-266-3113
Fax Number :
Provider Business Practice Location Address
First Line : 5171 S COTTONWOOD ST
Second Line :
City : MURRAY
State : UT
Zip : 84107-5704
Country : US
Telephone Number : 801-507-9310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2022
Last Update Date : 02/10/2026

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Directions to “ JUN LIN FNP-C” Practice Location

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