Donna L Kicin, AGPCNP-BC
Donna L Kicin, AGPCNP-BC is a Nurse Practitioner in West Jordan, Utah. Qualified in 2025, 1 year ago. Practices with Integrated Clinix, a 6-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 1
- Licensed in
- UT
- In the registry since
- 2025
Practice location Address checks out
1755 W 8760 SWest Jordan, UT 84088-9397
Phone: (385) 267-3951
Fax: (385) 304-4749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 10496682-4405 (UT) |
|---|
Record details
| NPI number | 1245032432 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGPCNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2025 |
| Last updated in NPPES | May 28, 2026 |
| Certification date | May 28, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Integrated Clinix — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |