Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bethany Green, DNP, MSN-ED, FNP-C

Individual provider Family Nurse Practitioner · NPI 1518512086

Dr. Bethany Green, DNP, MSN-ED, FNP-C is a Nurse Practitioner in South Jordan, Utah. Qualified in 2019, 7 years ago. Practices with Premier Family Medical, a 84-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

10920 S Riv Frnt Pkwy
South Jordan, UT 84095-3538
Phone: (801) 878-1095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9099972-4405 (UT)

Record details

NPI number1518512086
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , MSN-ED , FNP-C
Sole proprietorNo
NPI enumeratedAugust 1, 2019
Last updated in NPPESAugust 1, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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