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JESSICA RAY CLYDE LPN
NPI 1427657352
Licensed Practical Nurse in Provo, UT

Active since October 21, 2020
750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Ray Clyde Lpn NPPES

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

JESSICA RAY CLYDE LPN (NPI 1427657352) is an individual licensed practical nurse in Provo, Utah, licensed in Utah (373568-1109) and active in the NPI registry since October 2020. She maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1427657352
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJESSICA RAY CLYDECredential: LPN
Location Address750 N FREEDOM BLVDProvo, UT 84601-1677
Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760 · Fax (801) 373-0639
Phone(801) 373-4760
Sole ProprietorNo
Enumeration DateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1427657352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in UT · 373568-1109
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
750 N FREEDOM BLVD, Provo, UT 84601
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Secondary Practice Location 1

Location 1750 N Freedom BlvdProvo, UT 84601-1677 · Phone (801) 373-4760 · Fax (801) 373-0639

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.

ELIZA RACHELLE GEDGE PH.D., LP
Psychologist (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-0639
WASATCH MENTAL HEALTH
Clinic/Center (Adolescent and Children Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
JUSTINE CADAYONG EGGLESTON
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
SARAH FARIA
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
MEGAN NICHOLS
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
VICTORIA RYALS
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
KAMERYA HANOHANO
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
ALLISON RAMIREZ
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760

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 Jessica Clyde's NPI number?

The NPI number for Jessica Clyde is 1427657352. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Where is Jessica Clyde located?

Jessica Clyde practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Jessica Clyde's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jessica Clyde was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.