SearchUtah363AM0700X

Jacob Johnson

NPI 1699698670 · on the registry since 2026

Practice

Address
1533 W Cannonwood Pl
Taylorsville, UT 84123
Phone
(208) 350-1970

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah