Individual provider · Type 1 NPI

Nicholas Dean Jenderko, PA

Physician Assistant · Salt Lake City, UT

NPI number 1942951660 Active

Practice location

2000 Circle Of Hope Dr
Salt Lake City, UT 84112-5550

Mailing address

8843 Danton Way
Eden Prairie, MN 55347-5351

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12622303-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1942951660

Nicholas Dean Jenderko, PA's National Provider Identifier is 1942951660, issued on Jan 13, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 11, 2022.