Jacqueline Melinda Christensen
Individual provider Active NPI Community Health Worker · Clearfield, UT
NPI 1093235244 · NPPES record last updated Jun 20, 2017
Key facts
- NPI
- 1093235244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 387 E 450 S
Clearfield, UT 84015-1734 - Phone
- (801) 773-9149
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
387 E 450 S
Clearfield, UT 84015-1734
Mailing address
387 E 450 S
Clearfield, UT 84015-1734
Other names
- Jacqueline Melinda Tanner
Other providers in Clearfield, UT
- Cascade Springs Home Health & Hospice, LLC
- CDP Mission Ventures LLC
- Christopher Leif Chakrampilly Thomas
- Emily Chowen
- Clark J a Christensen
- Jessica Christensen
- Vera E. Christensen
- William Christensen
- Mindy Dyan Christiansen
- Marcie Clark
All providers in Clearfield, UT · Community Health Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.