Healthcare Provider Details

I. General information

NPI: 1528867488
Provider Name (Legal Business Name): JONATHAN PLASKETT NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 PECAN CIR
ST GEORGE UT
84790-7540
US

IV. Provider business mailing address

928 PECAN CIR
ST GEORGE UT
84790-7540
US

V. Phone/Fax

Practice location:
  • Phone: 801-842-8589
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10842222-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: