Provider Demographics
NPI:1700151990
Name:NANCE, JEFF DAVID (MD)
Entity Type:Individual
Prefix:
First Name:JEFF
Middle Name:DAVID
Last Name:NANCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:672 W 400 S
Mailing Address - Street 2:STE 100
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-3170
Mailing Address - Country:US
Mailing Address - Phone:801-489-0111
Mailing Address - Fax:801-489-0537
Practice Address - Street 1:672 W 400 S
Practice Address - Street 2:SUITE 100
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-3157
Practice Address - Country:US
Practice Address - Phone:801-360-6784
Practice Address - Fax:801-489-0537
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8441660-1205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology