Jace Dakota Johnny
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
2000 Circle Of Hope Dr
Salt Lake City
, Utah 84112-5550
Jace Dakota Johnny
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
2000 Circle Of Hope Dr
Salt Lake City
, Utah 84112-5550
(801) 869-0876
Write a Review Share Save Call
About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Jace Dakota Johnny
- 2000 Circle Of Hope Dr
- Salt Lake City, UT
- Zip : 84112-5550
- Phone : (801) 869-0876
Second Address
- Jace Dakota Johnny
- 2000 Circle Of Hope Dr
- Salt Lake City, UT
- Zip : 84112-5550
- Phone : (801) 869-0876
Reviews
FAQs
Where did Jace Dakota Johnny attend graduate school?
Where did Jace Dakota Johnny do his residency?
Where did Jace Dakota Johnny do his fellowship?
Is Jace Dakota Johnny board certified?
What type of doctor is Jace Dakota Johnny
In what state does Jace Dakota Johnny practice in?
Where is Jace Dakota Johnny ’s practice located?
What is Jace Dakota Johnny ’s gender?
Is Jace Dakota Johnny a sole practitioner?
Is Jace Dakota Johnny accepting new patients?
What languages does Jace Dakota Johnny speak?
Does Jace Dakota Johnny accept insurance?
Does Jace Dakota Johnny offers telemedicine?
What is Jace Dakota Johnny ’s professional license number?
What is Jace Dakota Johnny ’s NPI number?
Does Jace Dakota Johnny have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 9106759-4405 | UT |
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 9106759-4405 | UT |
National Provider Identifier
| NPI | 1558920835 |
|---|---|
| Provider Name | Jace Dakota Johnny |
| First Address | Salt Lake City, UT 84112-5550 |
| Second Address | Salt Lake City, UT 84112-5550 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2019 |
| Last Update Date | 21/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.