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NPI Code Detail

MEDICARE: JESSALYN HARPS

MEDICARE: JESSALYN HARPS
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
12278P3900XNeonatal/Pediatric Certified Respiratory Therapist14243310-5701UT

General Provider Information

NPI Number : 1952260069
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSALYN HARPS
Provider Business Mailing Address
First Line : 1374 W 1940 N
Second Line :
City : PROVO
State : UT
Zip : 84604-1124
Country : US
Telephone Number : 801-362-4291
Fax Number :
Provider Business Practice Location Address
First Line : 2250 N MILLER CAMPUS DR
Second Line :
City : LEHI
State : UT
Zip : 84048-7233
Country : US
Telephone Number : 801-362-4291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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