Jared Nielsen, PA-C

NPI #1932835311 in North Salt Lake, Utah

Provider Information

NPI Number: 1932835311
Entity Type: Individual
Name: Jared Nielsen, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 27, 2022
Last Updated: Nov 9, 2022

Practice Location

Address: 985 LILLYWOOD LN
City: North Salt Lake
State: Utah
ZIP Code: 84054-3054
Phone: (801) 915-3989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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