IndividualActive
Jonathan Flake
NPI 1376301895 · Psychiatric/Mental Health Nurse Practitioner · Springville, UT
Provider details
- NPI number
- 1376301895
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11269438-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
980 W 1275 S
Springville, UT 84663-5058
Phone: (801) 380-2538
Approximate (ZIP-level) locationGet directions
Mailing address
980 W 1275 S
Springville, UT 84663-5058
Registry dates
- Enumerated
- 2024-03-08
- Last updated
- 2024-03-08
- Certified
- 2024-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.