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

Jared Nielsen, PA-C

Individual provider Physician Assistant · NPI 1932835311

Jared Nielsen, PA-C is a Physician Assistant in North Salt Lake, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

985 Lillywood Ln
North Salt Lake, UT 84054-3054
Phone: (801) 915-3989
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13111589-1206 (UT)

Record details

NPI number1932835311
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 27, 2022
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022