Jessie Haderlie
Jessie Haderlie is a Nurse Practitioner in West Jordan, Utah. Qualified in 2025, 1 year ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 1
- Licensed in
- UT
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
5573 W Bluevail CtWest Jordan, UT 84081-5226
Phone: (801) 419-9365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Registered Nurse (primary) | Taxonomy 163WP0808X · Licence 11767125-4405 (UT) |
|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0809X · Licence 11767125-3102 (UT) |
Record details
| NPI number | 1699509257 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 27, 2024 |
| Last updated in NPPES | November 20, 2025 |
| Certification date | November 20, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in West Jordan
-
Arlene Holland LLC
8543 S Redwood Rd Ste C, West Jordan, UT 84088-9300 · (801) 413-3758