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

Jeffrey Scott Walsh

Individual provider General Practice Registered Nurse · NPI 1962070102

Jeffrey Scott Walsh is a Nurse Practitioner in Bountiful, Utah. Graduated from University of Utah School of Medicine in 2022, 4 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
4
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2021
Specialties on file
2

Practice location Address checks out

542 E 1600 S
Bountiful, UT 84010-4016
Phone: (801) 979-4077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 10676959-4405 (UT)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 10676959-3102 (UT)

Record details

NPI number1962070102
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services