Provider Demographics
NPI:1982231312
Name:REES, JAMISON (NP)
Entity Type:Individual
Prefix:
First Name:JAMISON
Middle Name:
Last Name:REES
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 405714
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-5714
Mailing Address - Country:US
Mailing Address - Phone:801-777-7771
Mailing Address - Fax:
Practice Address - Street 1:166 N STATE ST
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:UT
Practice Address - Zip Code:84050-9919
Practice Address - Country:US
Practice Address - Phone:801-829-3426
Practice Address - Fax:801-829-3135
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8167809-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner