PEGGY ANNE JEROME APRN NPI 1013001247

NPI Information

NPI: 1013001247
Provider Name: PEGGY ANNE JEROME, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
8537 REDWOOD RD
SUITE A - MAIN LEVEL
WEST JORDAN, UT
ZIP 84088
Phone: (801) 568-2898
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Peggy Anne Jerome, APRN is an adult health nurse practitioner in West Jordan, UT with 24 years of experience. Peggy Anne Jerome, APRN NPI is 1013001247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8537 REDWOOD RD
SUITE A - MAIN LEVEL
WEST JORDAN, UT
ZIP 84088-311
Phone: (801) 568-2898

The NPI 1013001247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 12/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	278825-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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