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

Jacob Ryan Heninger, APRN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639017536

Jacob Ryan Heninger, APRN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

525 E 100 S Ste 5
Salt Lake City, UT 84102-4210
Phone: (801) 585-1212
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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 · Licence 12298853-4405 (UT)

Record details

NPI number1639017536
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 19, 2026

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