IndividualActive
Jill Waldron, APRN, GNP-BC
NPI 1083852677 · Gerontology Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1083852677
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, GNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2794904405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
50 North Medical Drive
University of Utah Cardiology Clinic #10
Salt Lake City, UT 84132
Phone: (801) 585-5122
Fax: (801) 585-2319
Approximate (ZIP-level) locationGet directions
Mailing address
30 North 1900 East
Salt Lake City, UT 84132
Registry dates
- Enumerated
- 2009-02-04
- Last updated
- 2021-12-16
- Certified
- 2021-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.