Healthcare Provider Details

I. General information

NPI: 1447467998
Provider Name (Legal Business Name): DARLENE A JONES-WILCOX NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 NORTHFIELD RD # 301
CEDAR CITY UT
84720-8916
US

IV. Provider business mailing address

2259 N AMBERWOOD LN
CEDAR CITY UT
84720-4430
US

V. Phone/Fax

Practice location:
  • Phone: 435-865-7227
  • Fax: 435-865-7737
Mailing address:
  • Phone: 435-865-7227
  • Fax: 435-865-7737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number03109034405
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: