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NPI 1134949084 · live from the CMS NPI Registry

Jackie Bell Amaki, NP

Nurse Practitioner in St George, UT. National Provider Identifier 1134949084, active.

NPI record

NPI1134949084 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner 363L00000X
Practice location1380 E Medical Center Dr, St George, UT 84790
Practice phone435-688-4293
Mailing addressPo Box 27128, Salt Lake City, UT 84127
EnumeratedOctober 15, 2024
Last updatedApril 3, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Gerontology363LG0600X6920910-4405 (UT)
Nurse Practitioner primary363L00000X6920910-4405 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.