Healthcare Provider Details

I. General information

NPI: 1013532001
Provider Name (Legal Business Name): ASPEN WAYMENT JONES PHYSICIAN ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11762 S STATE ST STE 110
DRAPER UT
84020-7158
US

IV. Provider business mailing address

810 SHANNON RD
KAYSVILLE UT
84037-1540
US

V. Phone/Fax

Practice location:
  • Phone: 385-218-0587
  • Fax: 385-381-4447
Mailing address:
  • Phone: 801-791-9204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number12480244-1206
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: