Jack Y. Webb Jr., L.P.N
Individual provider Active NPI Licensed Practical Nurse · Naples, UT
NPI 1376909614 · NPPES record last updated Dec 31, 2015
Key facts
- NPI
- 1376909614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 282651-3101 (UT)
- Practice address
- 1842 E 2900 S
Naples, UT 84078-5110 - Phone
- (180) 472-8415
- Fax
- (435) 725-6889
- NPI assigned
- Dec 31, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282651-3101 | UT | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 282651-3101 | UT | Yes |
Addresses
Primary practice location
1842 E 2900 S
Naples, UT 84078-5110
Mailing address
1842 E 2900 South
Naples, UT 84078
Phone (801) 472-8415
Other providers in Naples, UT
All providers in Naples, UT · Licensed Practical Nurse in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.