JENNIFER HULICK BAUTISTA APRN
NPI 1043495807
Nurse Practitioner in Provo, UT

Active since December 28, 2007
1034 N 500 W, PROVO, UT 84604(801) 357-7707(801) 370-9061 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Hulick Bautista Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER HULICK BAUTISTA APRN (NPI 1043495807) is an individual nurse practitioner in Provo, Utah, licensed in Utah (290211-4405) and active in the NPI registry since December 2007. She maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1043495807
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER HULICK BAUTISTACredential: APRN
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Fax(801) 370-9061
Sole ProprietorNo
Enumeration DateDecember 28, 2007
Last NPPES UpdateApril 21, 2026
NPPES CertifiedApril 21, 2026
NPI 1043495807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in UT · 290211-4405
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License 290211-4405 (UT)
1034 N 500 W, Provo, UT 84604

Secondary Practice Location 1

Location 1100 N Medical DrSalt Lake City, UT 84113-1103 · Phone (801) 662-4140

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Undersea and Hyperbaric Medicine)
1034 N 500 W
PROVO, UT 84604
Nurse Practitioner (Family)
1034 N 500 W
PROVO, UT 84604
Nurse Practitioner
1034 N 500 W
PROVO, UT 84604
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043495807, enumerated as an "individual" on December 28, 2007.

The provider is located at 1034 N 500 W PROVO, UT 84604 and the phone number is (801) 357-7707.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Select Health. Please consult your insurance carrier or call the provider to verify.