IndividualActive
Jeffrey Walsh
NPI 1962070102 · Primary Care Nurse Practitioner · Bountiful, UT
Provider details
- NPI number
- 1962070102
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 10676959-3102 (UT)
Mailing address
542 E 1600 S
Bountiful, UT 84010-4016
Registry dates
- Enumerated
- 2021-06-15
- Last updated
- 2022-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.