MEDICARE: JODI LYN PUTNAM FNP-C

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	7992533-4405	UT
2	363L00000X	Nurse Practitioner	7992533-4405	UT

General Provider Information

NPI Number	:	1558109504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODI LYN PUTNAM FNP-C

Provider Business Mailing Address
First Line	:	84 S STATE ST
Second Line	:
City	:	FOUNTAIN GREEN
State	:	UT
Zip	:	84632-7640
Country	:	US
Telephone Number	:	435-445-3668
Fax Number	:

Provider Business Practice Location Address
First Line	:	1416 NORTH MAIN ST
Second Line	:	STE 1B
City	:	SPANISH FORK
State	:	UT
Zip	:	84660
Country	:	US
Telephone Number	:	385-518-0403
Fax Number	:	385-518-0466

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

Provider Enumeration Date	:	07/15/2024
Last Update Date	:	06/11/2026

Similar Medicare Providers

1487588174 — JOELLA NGOY
Practice Location Address:

67 W SUMMIT DR UNIT 103
SPANISH FORK, UT
84660-6595

Practice Phone: 385-494-3500
Practice Fax:

1144152554 — AMBER LEE KAYEMBE
Practice Location Address:

166 E CENTER ST
SPANISH FORK, UT
84660-2163

Practice Phone: 801-602-6598
Practice Fax:

1902738263 — RACHAEL LEIFSON
Practice Location Address:

1570 N MAIN ST
SPANISH FORK, UT
84660-1006

Practice Phone: 801-210-9319
Practice Fax:

1265364343 — BROOKLYN WILSON
Practice Location Address:

3082 E 700 S
SPANISH FORK, UT
84660-5841

Practice Phone: 866-805-1199
Practice Fax:

1154017671 — MARJANN OBER
Practice Location Address:

212 S MAIN ST STE 103
SPANISH FORK, UT
84660-4679

Practice Phone: 801-990-4304
Practice Fax:

1295668820 — CALI MAYNES
Practice Location Address:

3082 E 700 S
SPANISH FORK, UT
84660-5841

Practice Phone: 866-805-1199
Practice Fax:

Directions to “ JODI LYN PUTNAM FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.