Individual provider · Type 1 NPI

Jonathan D. Wilson, FNP

Nurse Practitioner · Layton, UT

NPI number 1043706146 Active

Practice location

3225 W Gordon Ave Ste 1
Layton, UT 84041-5728

Fax (801) 397-6151

Mailing address

PO Box 5546
Denver, CO 80217-5546

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X6496499-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043706146

Jonathan D. Wilson, FNP's National Provider Identifier is 1043706146, issued on Jul 2, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Layton, UT. The record was last updated on Jul 2, 2018.