Individual
DR. JASON TYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, FNP-C
Contact information
Practice address
1756 W PARK AVE, RIVERTON, UT 84065-4701
(801) 634-2616
Mailing address
1756 W PARK AVE, RIVERTON, UT 84065-4701
(801) 634-2616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8377428-4405
UT
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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