Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSIE HADERLIE
Active Sole ProprietorJESSIE HADERLIE is a Child & Adolescent Psychiatric Nurse healthcare provider located in WEST JORDAN, Utah. NPI 1699509257 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · WEST JORDAN, UT
Registration Details
- NPI Number
- 1699509257
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 27, 2024 (1.9951564997074 yrs)
- Last Updated
- Nov 20, 2025
- Licenses
-
11767125-4405 (UT)11767125-3102 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5573 W BLUEVAIL CTWEST JORDAN, UT, 840815226Browse UT providers · Browse ZIP 84081
- Phone
- 8014199365
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Substance Abuse Psychiatric Nurse
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.