Jerrica Elizabeth Stoddard, FNP | |
5640 S 3500 W, Roy, UT 84067-9158 | |
(801) 773-2838 | |
(801) 773-3025 |
Full Name | Jerrica Elizabeth Stoddard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5640 S 3500 W, Roy, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144584228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP-1179A (Idaho) | Secondary |
363LF0000X | Nurse Practitioner - Family | 9098960-4405 (Utah) | Primary |
Entity Name | Central Utah Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
Jerrica Elizabeth Stoddard, FNP 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Jerrica Elizabeth Stoddard, FNP 5640 S 3500 W, Roy, UT 84067-9158 Ph: (801) 773-2838 |
Tiffany Ann Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5305 S 1900 W, Roy, UT 84067 Phone: 801-825-5648 | |
Mrs. Jenelle Marie Jensen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3443 W 5600 S, Roy, UT 84067 Phone: 801-773-4840 | |
Mark Roland Nickle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5305 S 1900 W, Roy, UT 84067 Phone: 801-825-5648 | |
Marie Jo Borres, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2211 W 5100 S, Roy, UT 84067 Phone: 801-884-9154 | |
Mr. Phil H Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Emily Shanafelt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 |