Provider Demographics
NPI:1447501838
Name:THORPE, JELANA FAY
Entity type:Individual
Prefix:
First Name:JELANA
Middle Name:FAY
Last Name:THORPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 S INDIAN HILLS DR UNIT 27
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-6817
Mailing Address - Country:US
Mailing Address - Phone:435-231-6611
Mailing Address - Fax:
Practice Address - Street 1:710 S INDIAN HILLS DR UNIT 27
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-6817
Practice Address - Country:US
Practice Address - Phone:435-231-6611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical