Individual provider · Type 1 NPI

Cerissa Nicole Johnson Heth

Nurse Practitioner · South Ogden, UT

NPI number 1952040974 Active

Practice location

975 Chambers St
South Ogden, UT 84403-4591

Call (801) 387-6200 Map

Fax (801) 387-6234

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

4602 W 1100 S, West Point, UT 84015-7779 · (801) 859-5856

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Nurse Practitioner Primary	363L00000X	11591617-4405 (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 1952040974

Cerissa Nicole Johnson Heth's National Provider Identifier is 1952040974, issued on May 27, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Ogden, UT. The record was last updated on Jan 13, 2023.