NPI Profile for Dr JONATHAN M NEILSON in RIVERTON, UT.
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 |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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JONATHAN M NEILSON
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