Provider Demographics
NPI:1013532001
Name:JONES, ASPEN WAYMENT (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:ASPEN
Middle Name:WAYMENT
Last Name:JONES
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 SHANNON RD
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-1540
Mailing Address - Country:US
Mailing Address - Phone:801-791-9204
Mailing Address - Fax:
Practice Address - Street 1:11762 S STATE ST STE 110
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7158
Practice Address - Country:US
Practice Address - Phone:385-218-0587
Practice Address - Fax:385-381-4447
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
UT12480244-1206363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program