Jennifer Lyn Duckett, FNP
Individual provider Active NPI Primary Care Nurse Practitioner · Vineyard, UT
NPI 1093631434 · NPPES record last updated Jun 29, 2026
Key facts
- NPI
- 1093631434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 87580094405 (UT)
- Practice address
- 133 S Quivira LN
Vineyard, UT 84059-5682 - Phone
- (801) 368-5514
- NPI assigned
- Jun 29, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 87580094405 | UT | Yes |
Addresses
Primary practice location
133 S Quivira LN
Vineyard, UT 84059-5682
Mailing address
133 S Quivira LN
Vineyard, UT 84059-5682
Phone (801) 368-5514
Other providers in Vineyard, UT
- Jordan Collins
- Devyn Arlie Darrohn
- Heeju Davis
- Rebecca Davis
- Craig M. Doxey
- Elevate Orthodontics LLC
- Trisha D Evans
- Eric David Freeman
- Heather Gladney
- Victor Roman Gurrola
All providers in Vineyard, UT · Primary Care Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.