Individual provider · Type 1 NPI

Jacob Ivan

Family Medicine Physician · Layton, UT

NPI number 1134979347 Active

Practice location

201 W Layton Pkwy Ste 1A
Layton, UT 84041-3692

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 4403 Harrison Blvd Ste 700A, Ogden, UT 84403-3295 · (801) 387-5300

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X14234161-1205 (UT)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

16 other providers at this address

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About NPI 1134979347

Jacob Ivan's National Provider Identifier is 1134979347, issued on Mar 22, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Layton, UT. The record was last updated on Nov 18, 2025.