Individual provider · Type 1 NPI

Jessica Harland Carlisle, NP

Nurse Practitioner · Salt Lake City, UT

NPI number 1851017446 Active

Practice location

36 S State St Fl 22
Salt Lake City, UT 84111-1470

Mailing address

5171 S Cottonwood St Ste 610
Salt Lake City, UT 84107-5741

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3214414405 (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 1851017446

Jessica Harland Carlisle, NP's National Provider Identifier is 1851017446, issued on Oct 14, 2022. 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 May 28, 2023.