Individual provider · Type 1 NPI

Jordan Eatough, PA-C

Physician Assistant · Provo, UT

NPI number 1205428232 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 4105 Briargate Pkwy Ste 300, Colorado Springs, CO 80920-3487 · (719) 776-7846

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1205428232

Jordan Eatough, PA-C's National Provider Identifier is 1205428232, issued on Feb 10, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Provo, UT. The record was last updated on Dec 11, 2025.