Individual provider · Type 1 NPI
Jennifer L. Nissenbaum
Registered Nurse · Park City, UT
Practice location
8117 Courtyard Loop Apt 12
Park City, UT 84098-4768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 9019613-3102 (UT) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1326901620
Jennifer L. Nissenbaum's National Provider Identifier is 1326901620, issued on Dec 4, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Park City, UT. The record was last updated on Dec 4, 2025.