Healthcare Provider Details

I. General information

NPI: 1033098652
Provider Name (Legal Business Name): ALEX NICOLE HESS NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 S CHIPETA WAY
SALT LAKE CITY UT
84108-1287
US

IV. Provider business mailing address

995 S 4290 W
WEST POINT UT
84015-6006
US

V. Phone/Fax

Practice location:
  • Phone: 801-558-8276
  • Fax:
Mailing address:
  • Phone: 801-837-2978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number11758469-4405
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number11758469-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: