Individual
JENNIFER HULICK BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7707
(801) 370-9061
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
290211-4405
UT
363LN0005X
Critical Care Neonatal Nurse Practitioner
290211-4405
UT
Other
Enumeration date
12/28/2007
Last updated
04/21/2026
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