| Jonathan Fox, NP | |
|
630 Medical Dr, Bountiful, UT 84010-4908 | |
| (801) 299-2155 | |
| Not Available |
| Full Name | Jonathan Fox |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 630 Medical Dr, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508583709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7127109-4405 (Utah) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 7127109-4405 (Utah) | Primary |
| Entity Name | Mountainstar Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174868525 PECOS PAC ID: 1052558186 Enrollment ID: O20130605000270 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Fox, NP Po Box 742353, Atlanta, GA 30374-2353 Ph: (801) 771-7771 | Jonathan Fox, NP 630 Medical Dr, Bountiful, UT 84010-4908 Ph: (801) 299-2155 |
Kenzlee Wooden, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 845 S Main St Ste A7, Bountiful, UT 84010 Phone: 801-298-0903 | |
Daelyn Tasha Clawson, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-397-6670 | |
Miss Lauren Lightfield, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 458 N 500 W, Bountiful, UT 84010 Phone: 801-292-9355 Fax: 801-296-8050 | |
Sarah Elizabeth Mcmillin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W 3100 S, Bountiful, UT 84010 Phone: 801-668-7479 | |
Mistie Sue Manning, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010 Phone: 801-747-7244 | |
Dr. Rachel Starr Wagner Pollard, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 W 500 S Ste 210, Bountiful, UT 84010 Phone: 801-797-9121 | |
Janice M Trump, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3781 |