Individual
MERILEE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1055 N 500 W STE 212, PROVO, UT 84604-3305
(801) 374-2362
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347825
UT
Other
Enumeration date
05/28/2024
Last updated
04/29/2025
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