Individual
JOHNA BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 W COUGAR BLVD STE 403, PROVO, UT 84604-3338
(801) 357-7605
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10496639-3102
UT
363L00000X
Nurse Practitioner
Primary
10496639-4405
UT
363LF0000X
Family Nurse Practitioner
10496639-4405
UT
363LS0200X
School Nurse Practitioner
10496639-3102
UT
Other
Enumeration date
07/10/2021
Last updated
04/28/2026
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