Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK DAVISON, RN
Active Sole ProprietorPsychiatric/Mental Health Nurse · PROVO, UT
Registration Details
- NPI Number
- 1285206854
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2021 (4.7735895751225 yrs)
- Last Updated
- Jul 13, 2021
- Licenses
-
302471-3102 (UT)302471-3102 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
750 N FREEDOM BLVDPROVO, UT, 846011677Browse UT providers · Browse ZIP 84601
- Phone
- 8018524735
- Primary Specialty
-
Psychiatric/Mental Health Nurse
163WP0807X
- Additional Specialty
- Psychiatric/Mental Health Nurse
Other Psychiatric/Mental Health Nurse Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| KATHERINE DENISE KOLLER | APRN | 1003973785 |
| STEVEN HYATT | RN | 1740646009 |
| SHARRON MARIE LUNDEEN | — | 1164907317 |
| TACK D MACGREGOR | REGISTERED NURSE | 1659914356 |
| TIMOTHY W BARTELL | REGISTERED NURSE | 1457994162 |
| MICHELLE SHEPHERD | RN | 1215520234 |
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.