MEDICARE: JAMIE HESLOP

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
1	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1366373995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE HESLOP

Provider Business Mailing Address
First Line	:	701 W 3650 N
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84414-1444
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 N UNION AVE STE 300
Second Line	:
City	:	FARMINGTON
State	:	UT
Zip	:	84025-2957
Country	:	US
Telephone Number	:	385-489-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “ JAMIE HESLOP ” Practice Location

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