Individual
JACOB EWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP-FNP-C
Contact information
Practice address
292 S 1470 E STE 200, ST GEORGE, UT 84790-1764
(435) 688-0759
Mailing address
292 S 1470 E STE 200, ST GEORGE, UT 84790-1764
(435) 688-0759
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10646455-4405
UT
Other
Enumeration date
02/08/2022
Last updated
12/30/2024
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