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

Jake Allen Sisson

Individual provider Case Manager/Care Coordinator · NPI 1194334599

Jake Allen Sisson is a Case Manager/Care Coordinator in Provo, Utah. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 313-0639
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1194334599
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020
Mailing address750 N Freedom Blvd, Provo, UT 84601-1677

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