NPI 1043706146

Jonathan D Wilson, FNP

Practitioner Nurse Practitioner Layton, UT

Practice location

Address: 3225 W Gordon Ave STE 1, Layton, UT 84041-5728
Phone: (801) 397-6150
Fax: (801) 397-6151
Mailing address: PO Box 5546, Denver, CO 80217-5546

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 6496499-4405 (UT)

Other Nurse Practitioner providers in Utah →

Registry record

NPI: 1043706146
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2018
Record last updated: 2 Jul 2018

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.