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

Jack Davison, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1285206854

Jack Davison, RN is a Psychiatric/Mental Health Registered Nurse in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2021
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 852-4735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0807X · Licence 302471-3102 (UT)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 302471-3102 (UT)

Record details

NPI number1285206854
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 13, 2021
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021
Mailing address750 N Freedom Blvd, Provo, UT 84601-1677

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