| Judicial Supervision Services, Llc | |
|
5047 S Galleria Dr Murray UT 84123-4695 | |
| (801) 486-8143 | |
| (801) 746-6090 |
| Full Name | Judicial Supervision Services, Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 5047 S Galleria Dr, Murray, Utah |
| Authorized Official Name and Position | Karena Z Jackson (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8014868143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judicial Supervision Services, Llc 5047 S Galleria Dr Murray UT 84123-4695 Ph: (801) 486-8143 | Judicial Supervision Services, Llc 5047 S Galleria Dr Murray UT 84123-4695 Ph: (801) 486-8143 |
| NPI Number | 1487294252 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 01/09/2020 |
| Certification Date | 01/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487294252 | NPI | - | NPPES |
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