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

Susan Lloyd Jellum, APRN

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891422689

Susan Lloyd Jellum, APRN is a Nurse Practitioner in Murray, Utah. Qualified in 2025, 1 year ago. Practices with Platte Valley Medical Group LLC, a 121-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2022
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

5171 S Cottonwood St # 305
Murray, UT 84107-5704
Phone: (801) 507-9310
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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 206231-4405 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 206231-3102 (UT)

Record details

NPI number1891422689
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Platte Valley Medical Group Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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