Individual provider · Type 1 NPI

Jessica C. Newberry, FNP

Family Nurse Practitioner · Provo, UT

NPI number 1013503366 Active

Practice location

395 W Cougar Blvd Ste 205
Provo, UT 84604-3328

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X311883-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1013503366

Jessica C. Newberry, FNP's National Provider Identifier is 1013503366, issued on Dec 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Provo, UT. The record was last updated on Jan 12, 2026.