Individual
MR. JASON ALLEN BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8632 S 4950 W, WEST JORDAN, UT 84081-4865
(385) 787-9342
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11101003-3102
UT
363LF0000X
Family Nurse Practitioner
11101003-4405
UT
Other
Enumeration date
08/11/2025
Last updated
05/01/2026
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