Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Iron Phoenix Psychiatry, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1255055158

Iron Phoenix Psychiatry, LLC is a Psychiatric/Mental Health Nurse Practitioner in Draper, Utah. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

138 E 12300 S Unit 860
Draper, UT 84020-7976
Phone: (801) 449-1429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1255055158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Clark — Owner · (801) 449-1429
NPI enumeratedOctober 4, 2022
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022
Mailing address138 E 12300 S Unit 860, Draper, UT 84020-7976

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