Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB CHURCH, PA
Active Sole ProprietorJACOB CHURCH, PA is a Physician Assistant healthcare provider located in PROVO, Utah. NPI 1598495855 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PROVO, UT
Registration Details
- NPI Number
- 1598495855
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2022 (4.1515586317066 yrs)
- Last Updated
- Jun 10, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1055 N 500 W STE 121PROVO, UT, 846043305Browse UT providers · Browse ZIP 84604
- Phone
- 0137373508
- Fax
- 8018125401
- 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.