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Jessica Ricaurte, NNP — NPI 1649815879, Provo, UT | NPI Central

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NPI 1649815879

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Jessica Ricaurte, NNP

NPI 1649815879 · Critical Care Neonatal Nurse Practitioner · Provo, UT

Provider details

NPI number: 1649815879
Entity type: Individual
Primary specialty: Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: NNP
Sex: Female
Sole proprietor: No
License: 11540839-4405 (UT)

Specialties & taxonomies

Critical Care Neonatal Nurse PractitionerPrimary363LN0005XLicense 11540839-4405 (UT)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

1034 N 500 W

Provo, UT 84604-3380

Phone: (801) 357-7203

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

605 Idlewild Cir Apt 201

Birmingham, AL 35205-5822

Additional practice locations (1)

500 22nd St S
Birmingham, AL 35233-3110
Phone: (205) 934-7310

Registry dates

Enumerated: 2019-11-12
Last updated: 2019-12-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.