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DENALI SPECIALTY CLINIC LLC
NPI 1093683211
General Practice in Bountiful, UT

Active since October 28, 2025
415 MEDICAL DR STE B200, BOUNTIFUL, UT 84010(801) 389-4697 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Denali Specialty Clinic Llc NPPES

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

DENALI SPECIALTY CLINIC LLC (NPI 1093683211) is a healthcare organization registered as a general practice in Bountiful, Utah and active in the NPI registry since October 2025. The organization lists Jacquee R Stephens, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1093683211
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDENALI SPECIALTY CLINIC LLC
Location Address415 MEDICAL DR STE B200Bountiful, UT 84010-4986
Mailing Address415 Medical Dr Ste B200Bountiful, UT 84010-4986 · (801) 389-4697
Phone(801) 389-4697
Organization SubpartNo
Authorized OfficialJacquee R StephensDirector Of Operations · (801) 857-9923
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1093683211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
415 MEDICAL DR STE B200, Bountiful, UT 84010
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ALLYSON WHITE RUCKER NP
Nurse Practitioner (Acute Care)
415 MEDICAL DR STE B200
BOUNTIFUL, UT 84010
Davis County (801) 295-9105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denali Specialty Clinic LLC's NPI number?

The NPI number for Denali Specialty Clinic LLC is 1093683211. It was assigned to this organization in the NPPES registry on October 28, 2025.

Where is Denali Specialty Clinic LLC located?

Denali Specialty Clinic LLC is located at 415 Medical Dr Ste B200, Bountiful, UT 84010. The listed phone number is (801) 389-4697.

What is Denali Specialty Clinic LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Denali Specialty Clinic LLC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.