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

Jeffrey Scott Walsh

Individual provider General Practice Registered Nurse · NPI 1962070102

Jeffrey Scott Walsh is a Nurse Practitioner in Bountiful, Utah. Graduated from University of Utah School of Medicine in 2022, 4 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
4
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2021
Specialties on file
2

Practice location Address checks out

542 E 1600 S
Bountiful, UT 84010-4016
Phone: (801) 979-4077
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 10676959-4405 (UT)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 10676959-3102 (UT)

Record details

NPI number1962070102
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022
Mailing address542 E 1600 S, Bountiful, UT 84010-4016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services