Basic Information
| Provider Information | |||||||||
| NPI: | 1922601780 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUNTSMAN-JONES | ||||||||
| FirstName: | CARRIE | ||||||||
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| Credential: | APRN, FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1956 E LAMBOURNE AVE | ||||||||
| Address2: | |||||||||
| City: | MILLCREEK | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841063907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8016331557 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | COLLEGE OF NURSING | ||||||||
| Address2: | 10 SOUTH 2000 EAST | ||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 84112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8015813414 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2020 | ||||||||
| LastUpdateDate: | 10/04/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 336123-4405 | UT | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.