Individual
KASHLEY NICOLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
555 W SR 164, SALEM, UT 84653
(801) 465-4813
(801) 812-5433
Mailing address
1155 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10439852-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
10439852-4405
UT
363LF0000X
Family Nurse Practitioner
F05210673
UT
Other
Enumeration date
06/08/2021
Last updated
08/30/2021
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