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NPI Code Detail

MEDICARE: JESSICA DAWN PURKEY RN

MEDICARE: JESSICA DAWN PURKEY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse101978263102UT

General Provider Information

NPI Number : 1255262200
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA DAWN PURKEY RN
Provider Business Mailing Address
First Line : 1755 S LAURELHURST DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84108-3309
Country : US
Telephone Number : 801-245-9917
Fax Number :
Provider Business Practice Location Address
First Line : 1755 S LAURELHURST DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84108-3309
Country : US
Telephone Number : 801-245-9917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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