Individual provider · Type 1 NPI
Jessica Woeppel, PA-C
Surgical Physician Assistant · Salt Lake City, UT
NPI number
1922874981
Active
Practice location
4252 S Highland Dr
Salt Lake City, UT 84124-2670
Mailing address
2965 W 3500 S
West Valley City, UT 84119-3602
Other practice locations
- 3895 W 7800 S Ste 100, West Jordan, UT 84088-5616 · (801) 280-7774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 13487669-1206 (UT) |
| Physician Assistant | 363A00000X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1922874981
Jessica Woeppel, PA-C's National Provider Identifier is 1922874981, issued on Nov 30, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 19, 2025.