MEDICARE: UPLIFT FOR HER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	363LW0102X	Women's Health Nurse Practitioner
3	171400000X	Health & Wellness Coach
4	2083B0002X	Obesity Medicine (Preventive Medicine) Physician
5	208D00000X	General Practice Physician
6	207VG0400X	Gynecology Physician

General Provider Information

NPI Number	:	1144153172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPLIFT FOR HER, LLC

Provider Business Mailing Address
First Line	:	4685 S HIGHLAND DR STE 208
Second Line	:
City	:	HOLLADAY
State	:	UT
Zip	:	84117-5163
Country	:	US
Telephone Number	:	385-401-2895
Fax Number	:	385-429-1632

Provider Business Practice Location Address
First Line	:	4685 S HIGHLAND DR STE 208
Second Line	:
City	:	HOLLADAY
State	:	UT
Zip	:	84117-5163
Country	:	US
Telephone Number	:	385-401-2895
Fax Number	:	385-429-1632

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	JON CRACROFT
Credential	:	MBA
Telephone Number	:	385-355-4670

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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1295735728 — DR. JAYNE ELIZABETH CLARK M.D.
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Directions to “UPLIFT FOR HER, LLC ” Practice Location

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