JENNIFER JEANINE ELLSTROM

LEHI, UT
NPI1699441626
Former NameJENNIFER JEANINE CARLSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  12124921-4405)
Enumeration Date2021-08-19
Last Update Date2021-08-19
Business Address
JENNIFER JEANINE ELLSTROM FNP-C
3401 N CENTER ST STE 175
LEHI, UT 84043-7502
Phone number: 801-893-1872
Mailing Address
JENNIFER JEANINE ELLSTROM FNP-C
1756 W PARK AVE
RIVERTON, UT 84065-4701
Phone number: 801-893-1905
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