Jacob Clark, APRN, PMHNP-BC
Jacob Clark, APRN, PMHNP-BC is a Nurse Practitioner in Draper, Utah. Graduated from Vanderbilt University School of Medicine in 2022, 4 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.
- Years since qualifying
- 4
- Trained at
- Vanderbilt University School of Medicine
- Licensed in
- UT
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
138 E 12300 S Unit 860Draper, UT 84020-7976
Phone: (801) 449-1429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 8480668-4405 (UT) |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1487009957 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | APRN , PMHNP-BC |
| Sole proprietor | No |
| NPI enumerated | May 3, 2016 |
| Last updated in NPPES | October 1, 2022 |
| Certification date | October 1, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2022 (4 years in practice) |
| Group practice | Ihc Health Services Inc — 3947 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Colleagues at Ihc Health Services Inc
- Holly Cushing, PA-C Medical Physician Assistant · Murray, UT
- Mrs. Sheryl Lee Despiegelaere, NP-C Nurse Practitioner · Ogden, UT
- Mr. Jesse Wren Ellis, LCSW Clinical Social Worker · Provo, UT
- Meredith A. Gaufin, MD Dermatology Physician · Spanish Fork, UT
- Maegan Evensen Gillis, AGACNP Nurse Practitioner · Salt Lake City, UT
- Shannon Harding Psychiatric/Mental Health Nurse Practitioner · Salt Lake City, UT
- William Tyler Jenson, MD Internal Medicine Physician · Salt Lake City, UT
- Katherine Leugers Physician Assistant · South Jordan, UT
- Brooke Montgomery, AGNP Acute Care Nurse Practitioner · Ogden, UT
- Tanner Ross Mortenson, DO Student in an Organized Health Care Education/Training Program · Murray, UT
- Kimberly Chesney Redford, AUD Audiologist · Park City, UT
- Laura Marie Tranchini, PA-C Physician Assistant · Salt Lake City, UT
Other providers in Draper
-
Joseph Arch Gardner
171 E Steep Mountain Dr, Draper, UT 84020-5147 · (385) 216-9662