Individual
JACK DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 852-4735
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 852-4735
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
302471-3102
UT
163WP0808X
Psychiatric/Mental Health Registered Nurse
302471-3102
UT
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us