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

Mr. Jamison Lane Creekmore

Individual provider Medical Physician Assistant · NPI 1871294215

Mr. Jamison Lane Creekmore is a Physician Assistant in Tooele, Utah. Graduated from University of Utah School of Medicine in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Utah.

Years since qualifying
1
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2023

Practice location Address checks out

2376 N 400 E Ste 102
Tooele, UT 84074-3413
Phone: (435) 843-1225
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 14236708-1206 (UT)

Record details

NPI number1871294215
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 13, 2023
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Tooele