Individual provider · Type 1 NPI

Lu Ann Jacobs-Peterson, APRN FNP

Nurse Practitioner · Tooele, UT

NPI number 1396918462 Active

Practice location

2376 N 400 E Ste 205
Tooele, UT 84074-3413

Fax (435) 882-2111

Mailing address

14540 S Majestic Oaks Ln
Herriman, UT 84096-3645

Other practice locations

  • Harris Village Clinic, 251 N 1st St, Tooele, UT 84074 · (435) 228-5151

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X219855-4405 (UT)
Nurse Practitioner Primary 363L00000X219855-4405 (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 1396918462

Lu Ann Jacobs-Peterson, APRN FNP's National Provider Identifier is 1396918462, issued on Apr 9, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tooele, UT. The record was last updated on Apr 25, 2025.