Individual
JANSEN SEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1900 N STATE ST, PROVO, UT 84604-1341
(801) 373-2001
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 314-4500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10953341-4405
UT
363LF0000X
Family Nurse Practitioner
10953341-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10953341-4405
APRN
UT
01
—
10953341-8900
APRN - CONTROLLED SUBSTANCE UTAH
UT
Enumeration date
07/12/2022
Last updated
05/22/2025
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