OrganizationActive
Audrey Jantzen, M.D. PLLC
NPI 1538391339 · Medical Specialty Clinic/Center · Provo, UT
Provider details
- NPI number
- 1538391339
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Audrey Jantzen, Manager(801) 229-1054
- License
- 66542191205 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs 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
3685 N 100 E
Suite a
Provo, UT 84604-4594
Phone: (801) 229-1954
Fax: (801) 426-6338
Street-level locationGet directions
Mailing address
3685 N 100 E
Provo, UT 84604-4594
Registry dates
- Enumerated
- 2009-08-13
- Last updated
- 2009-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.