PEGGY JEROME LLC NPI 1700939477

NPI Information

PEGGY JEROME LLC is a psychiatric/mental health and adult registered nurse in West Jordan, UT. PEGGY JEROME LLC NPI is 1700939477. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peggy Jerome, Aprn.

The provider's business location address is:

8537 REDWOOD RD
STE. A - MAIN LEVEL
WEST JORDAN, UT
ZIP 84088-311
Phone: (801) 568-2898
Fax: (801) 568-2891

The provider's authorized official is Peggy Jerome .
The authorized official title is Owner and has the following contact phone number (801) 568-2898.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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