IndividualActive
Jennifer Bautista, APRN
NPI 1043495807 · Nurse Practitioner · Provo, UT
Provider details
- NPI number
- 1043495807
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 290211-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7707
Fax: (801) 370-9061
Street-level locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Additional practice locations (1)
- 100 N Medical DrSalt Lake City, UT 84113-1103Phone: (801) 662-4140
Registry dates
- Enumerated
- 2007-12-28
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.