Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 42497 | CO |
N | 111NI0900X | Internist | 42497 | CO |
Y | 207RH0002X | Hospice and Palliative Medicine | 7610500-1205 | UT |
NPI | 1033145339 |
---|---|
Provider Name | Dr. Jamie Lynn Brant |
First Address | Slc, UT 84102-1971 |
Second Address | Salt Lake City, UT 84112-5500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2006 |
Last Update Date | 13/10/2017 |