NPI 1659080927 · live from the CMS NPI Registry
Jared Blake Allan, AGACNP
Nurse Practitioner in Murray, UT. National Provider Identifier 1659080927, active.
NPI record
| NPI | 1659080927 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 5121 S Cottonwood St, Murray, UT 84107 |
| Practice phone | 801-507-7000 |
| Mailing address | Po Box 27128, Salt Lake City, UT 84127 |
| Enumerated | November 16, 2022 |
| Last updated | March 9, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 9046989-3102 (UT) |
| Nurse Practitioner, Acute Care | 363LA2100X | 9046989-4405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.