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

Jennifer Lauren Smith

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1366003840

Jennifer Lauren Smith is a Nurse Practitioner in Provo, Utah. Qualified in 2020, 6 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2019

Practice location Address checks out

585 N 500 W
Provo, UT 84601-1548
Phone: (801) 374-1801
Fax: (012) 168-3578
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence 10226501 (UT)

Record details

NPI number1366003840
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2019
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Intermountain Medical Group Denver Llc — 567 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Provo