Individual provider · Type 1 NPI
Jennifer Jeanine Ellstrom, FNP-C
Family Nurse Practitioner · Lehi, UT
NPI number
1699441626
Active
Practice location
3401 N Center St Ste 175
Lehi, UT 84043-7502
Mailing address
1756 W Park Ave
Riverton, UT 84065-4701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 12124921-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1699441626
Jennifer Jeanine Ellstrom, FNP-C's National Provider Identifier is 1699441626, issued on Aug 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lehi, UT. The record was last updated on Aug 19, 2021.