Johnny, Jace Dakota

Johnny, Jace Dakota is an individual health care provider with primary practice located at 2000 Circle Of Hope Dr , Salt Lake City UT 84112-5550. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Johnny, Jace Dakota can be contacted via phone (801) 869-0876.

Contact Information

Primary practice address
2000 Circle Of Hope Dr Salt Lake City UT 84112-5550
Phone: (801) 869-0876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 9106759-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 9106759-4405 Utah

Profile Details

NPI number 1558920835
LBN Legal business name Johnny, Jace Dakota
Credentials DNP, APRN, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2019
Last updated Oct 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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