PEGUY JACQUES NPI 1578073250

NPI Information

NPI: 1578073250
Provider Name: PEGUY JACQUES
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2008 E CHARIOT LN
SPANISH FORK, UT
ZIP 84660
Phone: (801) 623-3346
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Peguy Jacques is a family nurse practitioner in Spanish Fork, UT. Peguy Jacques NPI is 1578073250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2008 E CHARIOT LN
SPANISH FORK, UT
ZIP 84660-284
Phone: (801) 623-3346

The NPI 1578073250 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 10/6/2017 and was last updated on 7/14/2023.

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	363L00000X	Nurse Practitioner		9571169-4405	UTAH	No
2	363LF0000X	Nurse Practitioner	Family	9571169-4405	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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