NPI 1932553773 · live from the CMS NPI Registry
Jonathan Andrew Hartshorn, M.D.
Psychiatry & Neurology, Epilepsy in Provo, UT. National Provider Identifier 1932553773, active.
NPI record
| NPI | 1932553773 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Epilepsy 2084E0001X |
| Practice location | 395 W Cougar Blvd Ste 801, Provo, UT 84604 |
| Practice phone | 801-229-1054 |
| Mailing address | Po Box 27128, Salt Lake City, UT 84127 |
| Enumerated | April 18, 2016 |
| Last updated | September 23, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 12127629-1205 (UT) |
| Psychiatry & Neurology, Epilepsy primary | 2084E0001X | 12127629-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.