Individual provider · Type 1 NPI

Jill Carolyn Nicholson, ARNP

Nurse Practitioner · Draper, UT

NPI number 1649558479 Active

Practice location

12176 S 1000 E Ste 4
Draper, UT 84020-3221

Mailing address

PO Box 1200
Pleasant Grove, UT 84062-1200

Other practice locations

  • 2065 E 17th St, Idaho Falls, ID 83404-8042 · (800) 640-3451

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X76917 (ID)
Family Nurse Practitioner 363LF0000XAP30005742 (WA)
Nurse Practitioner Primary 363L00000X12495745-4405 (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 1649558479

Jill Carolyn Nicholson, ARNP's National Provider Identifier is 1649558479, issued on Jul 27, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Draper, UT. The record was last updated on Mar 6, 2024.