Provider Demographics
NPI:1982179735
Name:SCHARNKE, JEREMIE GARCIA (MSN, APRN, AGNP-BC)
Entity type:Individual
Prefix:MISS
First Name:JEREMIE
Middle Name:GARCIA
Last Name:SCHARNKE
Suffix:
Gender:
Credentials:MSN, APRN, AGNP-BC
Other - Prefix:
Other - First Name:JEREMIE
Other - Middle Name:VELASCO
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4905 N VIALETTO WAY
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-4869
Mailing Address - Country:US
Mailing Address - Phone:347-713-2887
Mailing Address - Fax:
Practice Address - Street 1:30 NORTH MARIO CAPECCHI DRIVE
Practice Address - Street 2:ROOM 4N155
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84113
Practice Address - Country:US
Practice Address - Phone:435-830-9123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-08
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF308631-1363LP2300X
UT13861815-4405363LP2300X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care