Jocelyn Clark
Nurse Practitioner - Primary Care
375 N Main St Ste 103
Kaysville
, Utah 84037-1272
Jocelyn Clark
Nurse Practitioner - Primary Care
375 N Main St Ste 103
Kaysville
, Utah 84037-1272
(801) 216-4130
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Jocelyn Clark
- 375 N Main St Ste 103
- Kaysville, UT
- Zip : 84037-1272
- Phone : (801) 216-4130
Second Address
- Jocelyn Clark
- 375 N Main St Ste 103
- Kaysville, UT
- Zip : 84037-1272
- Phone : (801) 216-4130
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 8054881-4405 | UT |
National Provider Identifier
| NPI | 1003409756 |
|---|---|
| Provider Name | Jocelyn Clark |
| First Address | Kaysville, UT 84037-1272 |
| Second Address | Kaysville, UT 84037-1272 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2021 |
| Last Update Date | 09/05/2021 |
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.