MEDICARE: MR. PARKER SCOTT JONES

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	363L00000X	Nurse Practitioner	10867253-4405	UT

General Provider Information

NPI Number	:	1730076662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PARKER SCOTT JONES

Provider Business Mailing Address
First Line	:	1243 E BRICKYARD RD APT 247
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84106-5601
Country	:	US
Telephone Number	:	801-703-1227
Fax Number	:

Provider Business Practice Location Address
First Line	:	1243 E BRICKYARD RD APT 247
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84106-5601
Country	:	US
Telephone Number	:	801-703-1227
Fax Number	:

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

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	05/20/2026

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Directions to “ MR. PARKER SCOTT JONES ” Practice Location

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