Individual provider · Type 1 NPI

Jill Henningfeld

Nurse Practitioner · Salt Lake City, UT

NPI number 1780159269 Active

Practice location

500 Foothill Blvd
Salt Lake City, UT 84148-0001

Mailing address

7692 S Village Glen Dr
West Jordan, UT 84081-3607

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAG10180058 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1780159269

Jill Henningfeld's National Provider Identifier is 1780159269, issued on Oct 10, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 10, 2018.