Individual provider · Type 1 NPI
Garrett Tanner Jefferies
Psychiatric/Mental Health Nurse Practitioner · Bountiful, UT
NPI number
1780302158
Active
Practice location
533 W 2600 S Ste 340
Bountiful, UT 84010-7768
Fax (385) 300-1842
Mailing address
90 W 500 S # 217
Bountiful, UT 84010-6230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11454012-4405 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1780302158
Garrett Tanner Jefferies's National Provider Identifier is 1780302158, issued on Aug 22, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bountiful, UT. The record was last updated on Mar 31, 2025.