Provider Demographics
NPI:1023412673
Name:RACHEL JENKINS-LLOYD, APRN
Entity type:Organization
Organization Name:RACHEL JENKINS-LLOYD, APRN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS-LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:385-743-8838
Mailing Address - Street 1:684 E VINE ST
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5548
Mailing Address - Country:US
Mailing Address - Phone:385-743-8838
Mailing Address - Fax:801-293-7106
Practice Address - Street 1:684 E VINE ST
Practice Address - Street 2:SUITE 4A
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-5548
Practice Address - Country:US
Practice Address - Phone:385-743-8838
Practice Address - Fax:801-293-7106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty