Individual provider · Type 1 NPI
Jennifer Marie Bush, NP
Nurse Practitioner · Salt Lake City, UT
Practice location
5770 S 1500 W
Salt Lake City, UT 84123-5216
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice locations
- 809 W Kenzie Way, Midvale, UT 84047-4786 · (770) 364-1205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 12033858-4405 (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 1760056089
Jennifer Marie Bush, NP's National Provider Identifier is 1760056089, issued on May 20, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 24, 2025.