DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN EATOUGH, PA-C

Active Sole Proprietor

Physician Assistant · PROVO, UT

Registration Details

NPI Number
1205428232
Provider Type
Individual
Gender
Male
NPI Issued
Feb 10, 2021 (5.2218573171811 yrs)
Last Updated
Dec 11, 2025
Sole Proprietor
Yes

Practice Information

Address
1034 N 500 W
PROVO, UT, 846043380
Browse UT providers · Browse ZIP 84604
Phone
8013573367
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PROVO, UT

Name Credential NPI
JEFFREY D PIERSON PA-C 1861490609
BRET D HILTON PA 1467451609
STEVEN R NIELSON PA 1184623217
JOHN ZACHARY PA 1871580829
JOHN A WHITEHEAD PA 1619935053
CORY NATHANAEL MILLER PA 1346298510
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.