IndividualActive
Jeanie O'Donnell, NURSE PRACTITIONER
NPI 1720024714 · Gerontology Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1720024714
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 190548-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 Foothill Blvd
Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
Fax: (801) 584-1298
Approximate (ZIP-level) locationGet directions
Mailing address
2553 Village Cir
Salt Lake City, UT 84108-2439
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2023-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.