Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared Hawkins

Individual provider Family Nurse Practitioner · NPI 1174095855

Jared Hawkins is a Nurse Practitioner in Provo, Utah. Qualified in 2018, 8 years ago. Practices with Grab Healthcare LLC, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
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Practice location Address checks out

1034 N 500 W # 84604
Provo, UT 84604-3380
Phone: (801) 357-7850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8067363-4405 (UT)

Record details

NPI number1174095855
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 19, 2018
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Grab Healthcare Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Provo