Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERICK JENSEN
ActiveDERICK JENSEN is a Community Health Worker healthcare provider located in SLC, Utah. NPI 1659794402 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · SLC, UT
Registration Details
- NPI Number
- 1659794402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2014 (12.493248640996 yrs)
- Last Updated
- Jan 30, 2014
Practice Information
- Address
-
68 S 600 ESLC, UT, 841021007Browse UT providers · Browse ZIP 84102
- Phone
- 8013221001
- Fax
- 8013593864
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in SLC, UT
| Name | Credential | NPI |
|---|---|---|
| PAMELA STARR WILLIAMS | — | 1578828687 |
| MELANIE MAE APGOOD | — | 1255683371 |
| JOSHUA G GLOVER | — | 1437402112 |
| KASEY ANN JENSON | — | 1578909040 |
| EARNEST WILSON | — | 1942639620 |
| REBECCA ANNE ROBISON | — | 1184048845 |
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.