Jenny Lynn Giberson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

13104031-4405 Issued in UT

Practice address

14629 S Porter Rockwell Blvd Ste 102
Bluffdale, UT 84065-1968

Phone

(801) 410-1100

Fax

(844) 689-3196

NPI assigned

Dec 18, 2025

Last updated

Sep 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meliai PLLC

  • Clinic/Center
  • Murray, UT
  • NPI 1699686436
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789776000000",
    "number": "1619832904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14629 S PORTER ROCKWELL BLVD STE 102",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840651968",
            "telephone_number": "801-410-1100",
            "fax_number": "844-689-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14629 S PORTER ROCKWELL BLVD STE 102",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840651968",
            "telephone_number": "801-410-1100",
            "fax_number": "844-689-3196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 E 400 S Ste 54338",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841112993",
            "country_code": "US",
            "telephone_number": "801-762-6673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBERSON",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-18",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "13104031-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Families First Pediatric Dentistry
• Families First Pediatrics
• Jacob Fergeson
• Colbey Chad Fife, DC
• Generations Medical Group LLC
• Robert Richard Gibson, LMT
• Dennis Ryan Griffeth, D.C,
• Tiffany Grimes, MSW
• Sarah Guidice
• Danielle Hardy

• Psychiatric/Mental Health Nurse Practitioner in Bluffdale, UT
• Providers in Bluffdale, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.