Provider Demographics
NPI:1083958771
Name:JONES, KEVIN (PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:DR
Other - First Name:KEVIN
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PNHNP-BC
Mailing Address - Street 1:9350 150 E
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-2715
Mailing Address - Country:US
Mailing Address - Phone:385-352-6969
Mailing Address - Fax:385-469-3919
Practice Address - Street 1:9350 150 E
Practice Address - Street 2:SUITE 320
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-2715
Practice Address - Country:US
Practice Address - Phone:385-758-7322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13314363LP0808X
NC5019687363LP0808X
MECNP241321363LP0808X
VA24190507363LP0808X
UT13826263-8900363LP0808X
TX1170644363LP0808X
NH112013-23363LP0808X
UT13826263-4405363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health