| Jennica Marie Van Blerkom, | |
|
389 S 900 E, Salt Lake City, UT 84102-2310 | |
| (385) 282-2750 | |
| Not Available |
| Full Name | Jennica Marie Van Blerkom |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 389 S 900 E, Salt Lake City, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437702875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 11459479-1206 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
| Dermatology Division University Of Utah Medical Center | 9638073497 | 64 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennica Marie Van Blerkom, 389 S 900 E, Salt Lake City, UT 84102-2310 Ph: (385) 282-2750 | Jennica Marie Van Blerkom, 389 S 900 E, Salt Lake City, UT 84102-2310 Ph: (385) 282-2750 |
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