NPI 1003667858

Jessica Jill Blotter

Practitioner Physician Assistant Heber City, UT

Practice location

Address: 820 W 3000 S, Heber City, UT 84032-3629
Phone: (435) 395-8255

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1003667858
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2024
Record last updated: 29 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.