LU ANN JACOBS-PETERSON

TOOELE, UT
NPI1396918462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  219855-4405)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: UT  219855-4405)
Enumeration Date2008-04-09
Last Update Date2022-10-23
Business Address
LU ANN JACOBS-PETERSON APRN FNP
2376 N 400 E STE 205
TOOELE, UT 84074-3413
Phone number: 435-882-8111
Mailing Address
LU ANN JACOBS-PETERSON APRN FNP
14540 S MAJESTIC OAKS LN
HERRIMAN, UT 84096-3645
Phone number: 801-232-1998