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NPI Profile for JENNIFER L CASTILLO in HUNTSVILLE, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1386251742 |
|
| Status | Active | |
| Credentials | APRN, FNP-BC | |
| Entity | Individual | |
| Enumeration date | 09/29/2020 | |
| Last updated | 09/29/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JENNIFER L CASTILLO
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JENNIFER L CASTILLO, APRN, FNP-BC