NPI 1144668591

Jordan Wyler Johnsen, FNPBC

Practitioner Family Nurse Practitioner Kaysville, UT

Practice location

Address: 375 N Main St STE 103, Kaysville, UT 84037-1272
Phone: (801) 876-3749
Fax: (801) 876-3697
Mailing address: 254 W 5400 S, Washington Terrace, UT 84405-6835

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 6212698-4405 (UT)

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Registry record

NPI: 1144668591
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2013
Record last updated: 5 May 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.