IndividualActive
Jodene Ivins
NPI 1205066529 · Registered Nurse · Blanding, UT
Provider details
- NPI number
- 1205066529
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 310608-3101 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
356 S Main St
Blanding, UT 84511-3830
Phone: (435) 678-2992
Fax: (435) 678-3116
Approximate (ZIP-level) locationGet directions
Mailing address
356 S Main St
Blanding, UT 84511-3830
Registry dates
- Enumerated
- 2009-07-21
- Last updated
- 2009-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.