Individual
VALARIE D JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
230 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 784-8414
(385) 213-0093
Mailing address
726 S KAYS DR, KAYSVILLE, UT 84037-8402
(801) 784-8414
(801) 701-8189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
348597-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
348597-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018018306
ANCC
UT
Enumeration date
09/10/2018
Last updated
12/17/2025
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