Jill Carolyn Nicholson, ARNP

Nurse Practitioner · Draper, UT

Individual Active NPI

NPI number 1649558479

Practice location

12176 S 1000 E Ste 4
Draper, UT 84020-3221
Phone
(800) 640-3451

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NPI record

NPI
1649558479
Entity type
Individual (Type 1)
Enumeration date
July 27, 2011
Last updated
March 6, 2024
Certified
March 6, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 12495745-4405 UT
Nurse Practitioner 363L00000X 76917 ID
Family Nurse Practitioner 363LF0000X AP30005742 WA

Mailing address

PO Box 1200
Pleasant Grove, UT 84062-1200
Phone
(800) 640-3451

Other practice locations (1)

  • 2065 E 17th St, Idaho Falls, ID 83404-8042 · (800) 640-3451

About Jill Nicholson

Jill Carolyn Nicholson, ARNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 12176 S 1000 E Ste 4, Draper, UT 84020-3221. The NPI number 1649558479 was assigned on July 27, 2011 and the record was last updated on March 6, 2024.

Jill Nicholson lists 3 licenses in the registry: #12495745-4405 (UT) for Nurse Practitioner; #76917 (ID) for Nurse Practitioner; #AP30005742 (WA) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jill Carolyn Nicholson, ARNP?

The NPI number is 1649558479.

What is the phone number of Jill Nicholson?

The phone number listed for the practice location is (800) 640-3451.

Where is Jill Nicholson located?

12176 S 1000 E Ste 4, Draper, UT 84020-3221.

What is the taxonomy code for Jill Nicholson?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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