Provider Demographics
NPI:1982836441
Name:HESS, JESSICA LEE (APRN, FNP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LEE
Last Name:HESS
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 WOODLAND PARK DR STE 210
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-5620
Mailing Address - Country:US
Mailing Address - Phone:385-393-7486
Mailing Address - Fax:801-206-6187
Practice Address - Street 1:1536 WOODLAND PARK DR STE 210
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5620
Practice Address - Country:US
Practice Address - Phone:385-393-7486
Practice Address - Fax:801-206-6187
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5642777-4405363LF0000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily