Individual provider · Type 1 NPI
Jonathan Michael Neilson, DNP
Pediatric Nurse Practitioner · Riverton, UT
NPI number
1780236109
Active
Practice location
12391 S 4000 W
Riverton, UT 84096-7012
Mailing address
2965 W 3500 S
West Valley City, UT 84119-3602
Other practice locations
- 3336 S 4155 W, West Valley City, UT 84120 · (801) 912-9700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9523151-4405 (UT) |
| Primary Care Nurse Practitioner | 363LP2300X | 9523151-4405 (UT) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 9523151-4405 (UT) |
| Nurse Practitioner | 363L00000X | 9523151-4405 (UT) |
| Registered Nurse | 163W00000X | 9523151-3102 (UT) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1780236109
Jonathan Michael Neilson, DNP's National Provider Identifier is 1780236109, issued on Jul 16, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Riverton, UT. The record was last updated on Jan 23, 2025.