Lu Ann Jacobs-peterson, APRN FNP | |
2376 N 400 E Ste 205, Tooele, UT 84074-3413 | |
(435) 882-8111 | |
(435) 882-2111 |
Full Name | Lu Ann Jacobs-peterson |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2376 N 400 E Ste 205, Tooele, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396918462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 219855-4405 (Utah) | Secondary |
363L00000X | Nurse Practitioner | 219855-4405 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Entity Name | General Surgery At Northpointe, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164782496 PECOS PAC ID: 0648421990 Enrollment ID: O20121113000780 |
Mailing Address | Practice Location Address |
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Lu Ann Jacobs-peterson, APRN FNP 14540 S Majestic Oaks Ln, Herriman, UT 84096-3645 Ph: (801) 232-1998 | Lu Ann Jacobs-peterson, APRN FNP 2376 N 400 E Ste 205, Tooele, UT 84074-3413 Ph: (435) 882-8111 |
Katie Wardenburg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2356 N 400 E Ste 202, Tooele, UT 84074 Phone: 435-843-8380 Fax: 435-843-8382 | |
Renee Suzanne Loveless, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 356 W 1880 N, Tooele, UT 84074 Phone: 435-830-2028 | |
Julee Kimball, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 E 2000 N Ste 106, Tooele, UT 84074 Phone: 435-843-2634 | |
Mr. Brand Paxton Reynolds, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 491 N Main St, Tooele, UT 84074 Phone: 435-843-8881 | |
Desiree England, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1363 Green Meadows Ct, Tooele, UT 84074 Phone: 435-813-2825 | |
Mrs. Catherine Carter, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 E 2000 N, 100, Tooele, UT 84074 Phone: 435-882-7644 | |
Krystle Dawn Lowrance, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 E 2000 N Ste 110, Tooele, UT 84074 Phone: 435-843-3677 |