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

Mr. Jared Blake Allan, AGACNP

Individual provider Nurse Practitioner · NPI 1659080927

Mr. Jared Blake Allan, AGACNP is a Nurse Practitioner in Murray, Utah. Qualified in 2022, 4 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
Specialties on file
2

Practice location Address checks out

5121 S Cottonwood St
Murray, UT 84107-5701
Phone: (801) 507-7000
Show map & directions

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

Additional practice locations (1)

  • 8th Avenue C St E, Salt Lake City, UT 84143-3104 — (801) 408-1100

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9046989-3102 (UT)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 9046989-4405 (UT)

Record details

NPI number1659080927
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedNovember 16, 2022
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Murray