IndividualActive
Jennifer Booth, N.P.
NPI 1821114505 · Obstetrics & Gynecology Nurse Practitioner · Provo, UT
Provider details
- NPI number
- 1821114505
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- 355247-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
920 N 500 W
Provo, UT 84604-3339
Phone: (801) 374-1801
Fax: (801) 375-0369
Approximate (ZIP-level) locationGet directions
Mailing address
920 N 500 W
Provo, UT 84604-3339
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.