Individual provider · Type 1 NPI

Jessica Latham, PA-C, MPAS

Medical Physician Assistant · Salt Lake City, UT

NPI number 1619203015 Active

Practice location

344 E 100 S
Salt Lake City, UT 84111-1700

Call (801) 322-3222 Map

Mailing address

3590 W 9000 S Ste 240
West Jordan, UT 84088-8864

Other practice locations

  • 3590 W 9000 S Ste 240, West Jordan, UT 84088-8864 · (801) 505-5370

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X7432864-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1619203015

Jessica Latham, PA-C, MPAS's National Provider Identifier is 1619203015, issued on Oct 20, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 30, 2023.