Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE ANNE FONUA, PA-C
ActiveJACKIE ANNE FONUA, PA-C is a Family Medicine healthcare provider located in WEST JORDAN, Utah. NPI 1336227206 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WEST JORDAN, UT
Registration Details
- NPI Number
- 1336227206
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2006 (19.785735060024 yrs)
- Last Updated
- Jul 8, 2007
- License
-
175335-1206 (UT)
Practice Information
- Address
-
3354 W 7800 SWEST JORDAN, UT, 840884506Browse UT providers · Browse ZIP 84088
- Phone
- 8012822677
- Fax
- 8012822050
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WEST JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| DR. RYAN PAUL PETERSON | DO | 1346237393 |
| RICHARD SPENCE | MD | 1649234022 |
| BRENTEN CLARK PUGH | M.D. | 1891742508 |
| DR. RANDALL L. WATSON | M.D. | 1952341000 |
| DENNIS R HAMP | D. O. | 1568405397 |
| JUDITH L KIRSTEIN | M.D. | 1275576027 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.