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Contact Information

JENNIFER T BLISS
5187 S ASCENSION WAY # 200
MURRAY, UT84123-4618
 Phone: 801-359-7400
 Fax: 801-359-7404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JENNIFER T BLISS · (Female)

NPI Number 1922773506
Status Active
Credentials
Entity Individual
Enumeration date 08/15/2021
Last updated 06/24/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • UT License # 266818-4405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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