IndividualActive
Jacqueline Pettit, PMHNP
NPI 1427877802 · Psychiatric/Mental Health Nurse Practitioner · Bountiful, UT
Provider details
- NPI number
- 1427877802
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8747557-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
585 W 500 S Ste 130
Bountiful, UT 84010-8199
Phone: (203) 962-2562
Street-level locationGet directions
Mailing address
86 W 1200 S
Bountiful, UT 84010-6339
Registry dates
- Enumerated
- 2024-10-03
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.