IndividualActive
Jessica Clyde, LPN
NPI 1427657352 · Licensed Practical Nurse · Provo, UT
Provider details
- NPI number
- 1427657352
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 373568-1109 (UT)
Mailing address
750 N Freedom Blvd
Provo, UT 84601-1677
Registry dates
- Enumerated
- 2020-10-21
- Last updated
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.