Provider Demographics
NPI:1144474768
Name:WORKMAN, JENNIFER K (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:K
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:KATE
Other - Last Name:LEVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:DEPT OF PEDS, DIV OF CRITICAL CARE, WILLIAMS BUILDING
Mailing Address - Street 2:PO BOX 581289
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84158
Mailing Address - Country:US
Mailing Address - Phone:801-587-7572
Mailing Address - Fax:801-581-8686
Practice Address - Street 1:100 N MARIO CAPECCHI DRIVE
Practice Address - Street 2:PEDIATRIC CRTICAL CARE, PRIMARY CHILDREN'S HOSPITAL
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84113
Practice Address - Country:US
Practice Address - Phone:801-662-2465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7468509-1205208M00000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist