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

Mrs. Jill Carolyn Nicholson, ARNP

Individual provider Nurse Practitioner · NPI 1649558479

Mrs. Jill Carolyn Nicholson, ARNP is a Nurse Practitioner in Draper, Utah. Qualified in 2000, 26 years ago. Practices with Spencer J Hardenbrook MD PC, a 93-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho, Utah and Washington.

Years since qualifying
26
Licensed in
ID, UT, WA
In the registry since
2011
Specialties on file
3
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

12176 S 1000 E Ste 4
Draper, UT 84020-3221
Phone: (800) 640-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2065 E 17th St, Idaho Falls, ID 83404-8042 — (800) 640-3451

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 12495745-4405 (UT)
Nurse Practitioner Taxonomy 363L00000X · Licence 76917 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP30005742 (WA)

Record details

NPI number1649558479
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJuly 27, 2011
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Spencer J Hardenbrook Md Pc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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