Jennifer M Ericson, PA-C is a surgical physician assistant in Salt Lake City, UT with 4 years of experience. Jennifer M Ericson, PA-C NPI is 1740874510. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 581-2121
The NPI 1740874510 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/23/2021 and was last updated on 10/25/2021.