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NPI Code Detail

MEDICARE: JANSEN SEARS APRN

MEDICARE: JANSEN SEARS APRN
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
1363LF0000XFamily Nurse Practitioner10953341-4405UT
2363L00000XNurse Practitioner10953341-4405UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110953341-4405OTHERUTAPRN
210953341-8900OTHERUTAPRN - CONTROLLED SUBSTANCE UTAH

General Provider Information

NPI Number : 1427782713
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANSEN SEARS APRN
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-314-4500
Fax Number :
Provider Business Practice Location Address
First Line : 1900 N STATE ST
Second Line :
City : PROVO
State : UT
Zip : 84604-1341
Country : US
Telephone Number : 801-373-2001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2022
Last Update Date : 05/22/2025

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