Most Relevant Information
Provider Data
| NPI Number: | 1003468729 |
| Provider Name: | JENICA SHELDON |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 9795183-3102 |
Most Important Dates
| Enumeration Date: | 07/12/2019 |
| Last Updated: | 07/12/2019 |
Provider Practice Location
237 26TH ST
OGDEN
UT
844013105
Practice Location Phone/Fax
| Phone: | 8016253700 |
| Fax: |
Provider Mailing Location
237 26TH ST
OGDEN
UT
844013105
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |