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

JARED NIELSEN, PA-C

Active Sole Proprietor

JARED NIELSEN, PA-C is a Physician Assistant healthcare provider located in NORTH SALT LAKE, Utah. NPI 1932835311 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NORTH SALT LAKE, UT

Registration Details

NPI Number
1932835311
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2022 (4.0558852805093 yrs)
Last Updated
Nov 9, 2022
License
13111589-1206 (UT)
Sole Proprietor
Yes

Practice Information

Address
985 LILLYWOOD LN
NORTH SALT LAKE, UT, 840543054
Browse UT providers · Browse ZIP 84054
Phone
8019153989
Primary Specialty
Physician Assistant
363A00000X
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.