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Jenissa Nichols
NPI 1407259005 · on the registry since 2014
Practice
- Address
- 1140 W 1130 S Suite B
Orem, UT 84058 - Phone
- (801) 935-4171
- Clinicians at this address
- 464
Additional practice sites
- 1875 S Geneva Rd, Orem, UT
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 1041S0200X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-21
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