Provider Demographics
NPI:1922601780
Name:HUNTSMAN-JONES, CARRIE (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:HUNTSMAN-JONES
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1956 E LAMBOURNE AVE
Mailing Address - Street 2:
Mailing Address - City:MILLCREEK
Mailing Address - State:UT
Mailing Address - Zip Code:84106-3907
Mailing Address - Country:US
Mailing Address - Phone:801-633-1557
Mailing Address - Fax:
Practice Address - Street 1:COLLEGE OF NURSING
Practice Address - Street 2:10 SOUTH 2000 EAST
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112
Practice Address - Country:US
Practice Address - Phone:801-581-3414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT336123-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily