NPI 1003656018

Merilee Jacobson, FNP

Practitioner Family Nurse Practitioner Provo, UT

Practice location

Address: 1055 N 500 W STE 212, Provo, UT 84604-3305
Phone: (801) 374-2362
Mailing address: 1055 N 500 W Attn Credentialing, Provo, UT 84604-3305

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 347825 (UT)

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Registry record

NPI: 1003656018
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 May 2024
Record last updated: 29 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.