Healthcare Provider Details

I. General information

NPI: 1063081305
Provider Name (Legal Business Name): JAMIE CAMILLE BARKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3723 W 12600 S STE 430
RIVERTON UT
84065-7310
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 801-322-3222
  • Fax:
Mailing address:
  • Phone: 801-285-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4931817-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4931817-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: