Individual provider · Type 1 NPI
Jessie Haderlie
Psychiatric/Mental Health Registered Nurse · West Jordan, UT
NPI number
1699509257
Active
Practice location
5573 W Bluevail Ct
West Jordan, UT 84081-5226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 11767125-4405 (UT) |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 11767125-3102 (UT) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1699509257
Jessie Haderlie's National Provider Identifier is 1699509257, issued on Aug 27, 2024. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in West Jordan, UT. The record was last updated on Nov 20, 2025.