Search › Utah › 163W00000X
Jennifer Nissenbaum
NPI 1326901620 · on the registry since 2025 · sole proprietor
Practice
- Address
- 8117 Courtyard Loop Apt 12
Park City, UT 84098 - Phone
- (614) 581-2325
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah