MEDICARE: MRS. AMY M JONES FNP

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	363LF0000X	Family Nurse Practitioner	5348483-4405	UT

General Provider Information

NPI Number	:	1558108704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY M JONES FNP

Provider Business Mailing Address
First Line	:	600 S STATE ST STE 2
Second Line	:
City	:	CLEARFIELD
State	:	UT
Zip	:	84015-1210
Country	:	US
Telephone Number	:	385-483-1003
Fax Number	:	801-797-0725

Provider Business Practice Location Address
First Line	:	600 S STATE ST STE 2
Second Line	:
City	:	CLEARFIELD
State	:	UT
Zip	:	84015-1210
Country	:	US
Telephone Number	:	385-483-1003
Fax Number	:	801-797-0725

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

Provider Enumeration Date	:	07/12/2024
Last Update Date	:	01/06/2026

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