Mr. JARED BLAKE ALLAN AGACNP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1659080927- Provider Type
- Individual Provider (NPI-1)
- Credentials
- AGACNP
- Status
- Active
Contact & Location
- Address
- 5121 S COTTONWOOD ST, MURRAY, UT, 841075701
- Phone
- (801) 507-7000
Specialties & Taxonomies
Nurse Practitioner
Primary License: UT #9046989-3102
Nurse Practitioner, Acute Care
License: UT #9046989-4405
All Addresses
MAILING
PO BOX 27128
SALT LAKE CITY, UT, 841270128