IndividualActive
Jesse Bennion
NPI 1508398207 · Registered Nurse · Cornish, UT
Provider details
- NPI number
- 1508398207
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 7701604-3102 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
4473 W 13400 N
Cornish, UT 84308-1743
Phone: (435) 213-3123
Approximate (ZIP-level) locationGet directions
Mailing address
4473 W 13400 N
Cornish, UT 84308-1743
Registry dates
- Enumerated
- 2017-03-31
- Last updated
- 2017-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.