TESSA JANE HAMILTON DNP PMHNP-BC NPI 1104459767

NPI Information

  • NPI: 1104459767
  • Provider Name: TESSA JANE HAMILTON, DNP, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 850 E 300 S STE 6
    SALT LAKE CITY, UT
    ZIP 84102
  • Phone: (801) 872-3348

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NPI Details

Tessa Jane Hamilton, DNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Salt Lake City, UT. Tessa Jane Hamilton, DNP, PMHNP-BC NPI is 1104459767. 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:

850 E 300 S STE 6
SALT LAKE CITY, UT
ZIP 84102-332
Phone: (801) 872-3348
Fax: (801) 823-0706

The NPI 1104459767 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 2/21/2020 and was last updated on 11/16/2022.

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
1163WP0808XRegistered NursePsychiatric/Mental Health9458849-3102UTAHNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health94588494405UTAHYes

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: 3/30/2025

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