Jaysen Hamilton Dale, FNP-BC
Nurse Practitioner, Family in Dallas, TX. Individual provider (NPI-1).
NPI number1982309274
StatusActive
Last updated in NPPESMay 30, 2025
Details
- NPI
- 1982309274
- Entity type
- Individual (NPI-1)
- Name
- Jaysen Hamilton Dale
- Credential
- FNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2023
- Certification date
- May 30, 2025
- Last updated
- May 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 13337289-4405 | UT | Yes |
| 163W00000X | Registered Nurse | 10316494-3102 | UT |
Practice location
9353 Elam RdDallas, TX 75217-4181
Phone 699-432-9334
Mailing address
9353 Elam RdDallas, TX 75217-4181
Phone 699-432-9334
Other practice locations
1380 E Medical Center Dr
Saint George, UT 84790-2123
Saint George, UT 84790-2123
Phone 435-251-1000
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