| Mr Jordan Wyler Johnsen, FNP-BC | |
|
375 N Main St Ste 103, Kaysville, UT 84037-1272 | |
| (801) 876-3749 | |
| (801) 876-3697 |
| Full Name | Mr Jordan Wyler Johnsen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 375 N Main St Ste 103, Kaysville, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144668591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6212698-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| A-plus Home Care | Orem, UT | Home health agency |
| Canyon Home Care | Salt lake city, UT | Home health agency |
| A-plus Hospice | Orem, UT | Hospice |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gary F Holland Md Pc | 2668466350 | 9 |
| Entity Name | Gary F Holland Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598861999 PECOS PAC ID: 2668466350 Enrollment ID: O20040414000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jordan Wyler Johnsen, FNP-BC 254 W 5400 S, Washington Terrace, UT 84405-6835 Ph: (801) 361-6787 | Mr Jordan Wyler Johnsen, FNP-BC 375 N Main St Ste 103, Kaysville, UT 84037-1272 Ph: (801) 876-3749 |
Jocelyn Anne Montierth, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-216-4130 | |
Blake Henry Miles, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 977 S Via La Costa Way, Kaysville, UT 84037 Phone: 801-589-6988 | |
Natalie E Royster-jensen, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 498 N Kays Dr Ste 200, Kaysville, UT 84037 Phone: 385-382-1555 | |
Nicole Stapley, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 380 N 400 W, Kaysville, UT 84037 Phone: 801-773-4840 Fax: 801-525-8151 | |
Nicholas George Jarvis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-876-3749 | |
Cheryl Ann Wentworth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 498 N 900 W, Kaysville, UT 84037 Phone: 385-382-1555 |