Individual
MATTHEW WAYNE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1220 E 3900 S STE 1F, SALT LAKE CITY, UT 84124-1327
(801) 262-5711
(801) 262-5741
Mailing address
PO BOX 741648, ATLANTA, GA 30374-1648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8281526-4405
UT
363LA2100X
Acute Care Nurse Practitioner
8281526-4405
UT
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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