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

Jared Hawkins

Individual provider Family Nurse Practitioner · NPI 1174095855

Jared Hawkins is a Nurse Practitioner in Provo, Utah. Qualified in 2018, 8 years ago. Practices with Grab Healthcare LLC, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
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Practice location Address checks out

1034 N 500 W # 84604
Provo, UT 84604-3380
Phone: (801) 357-7850
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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 8067363-4405 (UT)

Record details

NPI number1174095855
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 19, 2018
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020
Mailing address1034 N 500 W # 84604, Provo, UT 84604-3380

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Grab Healthcare Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Provo