Healthcare Provider Details

I. General information

NPI: 1962824151
Provider Name (Legal Business Name): DAVID GARRETT JONES PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2014
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5315 S 500 E
WASHINGTON TERRACE UT
84405-4766
US

IV. Provider business mailing address

5315 ADAMS AVE PKWY STE A
WASHINGTON TERRACE UT
84405-4772
US

V. Phone/Fax

Practice location:
  • Phone: 801-476-4448
  • Fax: 801-476-4448
Mailing address:
  • Phone: 801-476-4448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number8686213-1206
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number8686213-1206
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number8686213-1206
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number8686213-1206
License Number StateUT
# 5
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: