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

Justice Farley

Individual provider Physician Assistant · NPI 1417705831

Justice Farley is a Physician Assistant in Provo, Utah. Qualified in 2025, 1 year ago. Practices with Numinus Wellness UT Inc, a 51-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2024

Practice location Address checks out

1800 Novell Pl
Provo, UT 84606-6171
Phone: (801) 734-6769
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12912309-1206 (UT)

Record details

NPI number1417705831
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 9, 2024
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address1800 Novell Pl, Provo, UT 84606-6171

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Numinus Wellness Ut Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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