Individual provider · Type 1 NPI

Janesa Porter, DNP, CPNP AC/PC

Nurse Practitioner · Salt Lake City, UT

NPI number 1114636776 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Call (801) 487-0451 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

3401 Civic Center Blvd, Philadelphia, PA 19104-4319 · (215) 590-1000

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner	363LP0200X	SP026647 (PA)
Nurse Practitioner Primary	363L00000X	9796639-4405 (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 1114636776

Janesa Porter, DNP, CPNP AC/PC's National Provider Identifier is 1114636776, issued on Nov 22, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 23, 2026.