Individual
JEREMY RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN FNP
Contact information
Practice address
145 W 200 N STE 600, PROVO, UT 84601-3016
(801) 821-2781
(801) 901-1194
Mailing address
145 W 200 N STE 600, PROVO, UT 84601-3016
(801) 821-2781
(801) 901-1194
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5130849-4405
UT
Other
Enumeration date
06/26/2017
Last updated
12/18/2025
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