Healthcare Provider Details

I. General information

NPI: 1447834817
Provider Name (Legal Business Name): MAEGAN JONES NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2021
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5327 S 500 E STE 1
WASHINGTON TERRACE UT
84405-4730
US

IV. Provider business mailing address

4613 W 3725 S
WEST HAVEN UT
84401-8083
US

V. Phone/Fax

Practice location:
  • Phone: 801-747-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5555702-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: