JORDAN TARA JAYLENE FULLMER
NPI 1861243693
Community Health Worker in Salt Lake City, UT
About Jordan Tara Jaylene Fullmer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN TARA JAYLENE FULLMER (NPI 1861243693) is an individual community health worker in Salt Lake City, Utah and active in the NPI registry since March 2024.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jordan Fullmer's NPI number?
The NPI number for Jordan Fullmer is 1861243693. It was assigned to this individual provider in the NPPES registry on March 29, 2024.
Where is Jordan Fullmer located?
Jordan Fullmer practices at 117 W 400 S, Salt Lake City, UT 84101. The listed phone number is (801) 428-4257.
What is Jordan Fullmer's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Jordan Fullmer was last updated on March 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.