Individual provider · Type 1 NPI

Jared Blake Allan, AGACNP

Nurse Practitioner · Murray, UT

NPI number 1659080927 Active

Practice location

5121 S Cottonwood St
Murray, UT 84107-5701

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 8th Avenue C St E, Salt Lake City, UT 84143-3104 · (801) 408-1100

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9046989-3102 (UT)
Acute Care Nurse Practitioner 363LA2100X9046989-4405 (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 1659080927

Jared Blake Allan, AGACNP's National Provider Identifier is 1659080927, issued on Nov 16, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Murray, UT. The record was last updated on Mar 9, 2026.