Physician Assistant
JACIE MUNDAHL PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1134751902 · enumerated 2020-02-10 · record updated 2020-02-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 6008 37TH AVE NE, RUGBY, ND, 58368-8760 (701) 771-0134 Google Maps Apple Maps OpenStreetMap
- Practice location 8TH AVE C ST E 80, SALT LAKE CITY, UT, 84143-0001 (801) 408-1100 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 11609094-1206 UT
Locations and evidence
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Practice location
SALT LAKE CITY, UT, 841430001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.