Jace Dakota Johnny, DNP, APRN, AGACNP-BC is an acute care nurse practitioner in Salt Lake City, UT with 5 years of experience. Jace Dakota Johnny, DNP, APRN, AGACNP-BC NPI is 1558920835. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2019
The provider's business location address is:
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT
ZIP 84112-550
Phone: (801) 869-0876
The NPI 1558920835 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 6/10/2019 and was last updated on 10/21/2021.