TIMOTHY JARED BLACK

LEHI, UT
NPI1821934241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  8535186-4405)
Enumeration Date2026-04-27
Last Update Date2026-04-27
Business Address
TIMOTHY JARED BLACK
3742 W 2150 N
LEHI, UT 84048-7801
Phone number: 385-220-6257
Mailing Address
TIMOTHY JARED BLACK
3288 E WHEAT FIELD LN
EAGLE MOUNTAIN, UT 84005-5527
Phone number: 801-636-4913