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

Jimmy DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750178596

Jimmy DO is a Student in an Organized Health Care Education/Training Program in Ivins, Utah. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

255 E Center St
Ivins, UT 84738-6790
Phone: (435) 222-1236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1750178596
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address255 E Center St, Ivins, UT 84738-6790

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