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Contact Information

JONATHAN M NEILSON, DNP
12391 S 4000 W
RIVERTON, UT84096-7012
 Phone: 801-302-1700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JONATHAN M NEILSON · (Male)

NPI # 1780236109
Status Active
Credentials DNP
Entity Individual
Enumeration date 07/16/2019
Last updated 01/23/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 9523151-3102
  • UT License # 9523151-4405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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