Provider Demographics
NPI:1083852677
Name:WALDRON, JILL STRATFORD (APRN, GNP-BC)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:STRATFORD
Last Name:WALDRON
Suffix:
Gender:F
Credentials:APRN, GNP-BC
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Mailing Address - Street 1:30 NORTH 1900 EAST
Mailing Address - Street 2:ROOM 4A100
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132
Mailing Address - Country:US
Mailing Address - Phone:801-585-5122
Mailing Address - Fax:801-585-2319
Practice Address - Street 1:50 NORTH MEDICAL DRIVE
Practice Address - Street 2:UNIVERSITY OF UTAH CARDIOLOGY CLINIC #10
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132
Practice Address - Country:US
Practice Address - Phone:801-585-5122
Practice Address - Fax:801-585-2319
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2021-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT2794904405363LG0600X
UT279490-4405/APRN363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology