Mrs. Cerissa Nicole Johnson Heth
Mrs. Cerissa Nicole Johnson Heth is a Nurse Practitioner in South Ogden, Utah. Qualified in 2022, 4 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 4
- Licensed in
- UT
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
South Ogden, UTFax: (801) 387-6234
No coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 4602 W 1100 S, West Point, UT 84015-7779 — (801) 859-5856
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 11591617-4405 (UT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1952040974 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 27, 2022 |
| Last updated in NPPES | January 13, 2023 |
| Certification date | January 13, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Tanner Memorial Clinic — 252 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in South Ogden
-
Ryan K Austin, DDS, PC
Student / training record South Ogden, UT
-
Sarah Diamond
Student / training record South Ogden, UT
-
Shaun Thomas Heward, DMD, MD
Student / training record South Ogden, UT