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

Peguy Jacques

Individual provider Nurse Practitioner · NPI 1578073250

Peguy Jacques is a Nurse Practitioner in Spanish Fork, Utah. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2008 E Chariot Ln
Spanish Fork, UT 84660-6284
Phone: (801) 623-3346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9571169-4405 (UT)
Nurse Practitioner Taxonomy 363L00000X · Licence 9571169-4405 (UT)

Record details

NPI number1578073250
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 6, 2017
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023
Mailing address2008 E Chariot Ln, Spanish Fork, UT 84660-6284

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)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Spanish Fork