Most Relevant Information
Provider Data
| NPI Number: | 1003495110 |
| Provider Name: | JORDAN TAYLOR BURNETT |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2021 |
| Last Updated: | 04/06/2021 |
Provider Practice Location
131 E 700 S
SALT LAKE CITY
UT
841113805
Practice Location Phone/Fax
| Phone: | 3855003609 |
| Fax: |
Provider Mailing Location
131 E 700 S
SALT LAKE CITY
UT
841113805
Provider Mailing Phone/Fax
| Phone: | 3855003609 |
| Fax: |