Provider Demographics
NPI:1992978712
Name:HUNN, JESSICA RAE (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:RAE
Last Name:HUNN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1140 E 3900 S
Mailing Address - Street 2:STE 300
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1228
Mailing Address - Country:US
Mailing Address - Phone:385-347-5450
Mailing Address - Fax:385-474-6961
Practice Address - Street 1:1140 E 3900 S
Practice Address - Street 2:STE 340
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-1228
Practice Address - Country:US
Practice Address - Phone:801-743-4730
Practice Address - Fax:801-743-4736
Is Sole Proprietor?:No
Enumeration Date:2008-04-12
Last Update Date:2017-06-30
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Provider Licenses
StateLicense IDTaxonomies
UT6019946-1205207V00000X, 207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology