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NPI Code Detail

MEDICARE: JASMINE JONES HOHL

MEDICARE: JASMINE JONES HOHL
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
1363A00000XPhysician Assistant12613431-1206UT

General Provider Information

NPI Number : 1700335395
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE JONES HOHL
Provider Business Mailing Address
First Line : 3725 W 4100 S STE 201
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84120-5411
Country : US
Telephone Number : 888-949-4864
Fax Number :
Provider Business Practice Location Address
First Line : 1020 S MAIN ST STE 100
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84101-3194
Country : US
Telephone Number : 888-949-4864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2016
Last Update Date : 03/17/2025

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