Individual provider · Type 1 NPI

Jesse Ballard, FNP-C

Nurse Practitioner · St. George, UT

NPI number 1629675699 Active

Practice location

1380 E Medical Center Dr
St. George, UT 84790-2123

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 1410 N Samantha Rd, Liberty Lake, WA 99019-8626 · (801) 441-9534
  • 1055 N 500 W Ste 205, Provo, UT 84604-3305 · (801) 354-8225
  • 700 W Ironwood Dr Ste 120, Coeur D Alene, ID 83814-4405 · (208) 625-3640

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP61095878 (WA)
Nurse Practitioner 363L00000X2161573 (ID)
Nurse Practitioner Primary 363L00000X11985380-4405 (UT)
Family Nurse Practitioner 363LF0000X11985380-4405 (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…

325 other providers at this address

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About NPI 1629675699

Jesse Ballard, FNP-C's National Provider Identifier is 1629675699, issued on Oct 2, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. George, UT. The record was last updated on Apr 15, 2026.