Jared Blake Allan, AGACNP
Nurse Practitioner in Murray, UT. Individual provider (NPI-1).
NPI number1659080927
StatusActive
Last updated in NPPESMar 9, 2026
Details
- NPI
- 1659080927
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jared Blake Allan
- Credential
- AGACNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2022
- Certification date
- Mar 9, 2026
- Last updated
- Mar 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9046989-3102 | UT | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 9046989-4405 | UT |
Practice location
5121 S Cottonwood StMurray, UT 84107-5701
Phone 801-507-7000
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Other practice locations
8th Avenue C St E
Salt Lake City, UT 84143-3104
Salt Lake City, UT 84143-3104
Phone 801-408-1100
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