Individual provider · Type 1 NPI

Timothy Jared Black

Family Nurse Practitioner · Lehi, UT

NPI number 1821934241 Active

Practice location

3742 W 2150 N
Lehi, UT 84048-7801

Call (385) 220-6257 Map

Mailing address

3288 E Wheat Field Ln
Eagle Mountain, UT 84005-5527

Other practice locations

  • 3288 E Wheat Field Ln, Eagle Mountain, UT 84005-5527 · (801) 636-4913

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X8535186-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1821934241

Timothy Jared Black's National Provider Identifier is 1821934241, issued on Apr 27, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lehi, UT. The record was last updated on Apr 27, 2026.