Healthcare Provider Details

I. General information

NPI: 1659232189
Provider Name (Legal Business Name): JENNIFER DAY DUKE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

648 SEYMORE DR
AMERICAN FORK UT
84003-2187
US

IV. Provider business mailing address

648 SEYMORE DR
AMERICAN FORK UT
84003-2187
US

V. Phone/Fax

Practice location:
  • Phone: 801-602-7403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number12994468-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number12994468-8900
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: