Jaysa Esplin
Individual provider Active NPI Social Worker · Kanab, UT
NPI 1972242550 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1972242550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 445 N Main St
Kanab, UT 84741-3250 - Phone
- (435) 899-9258
- NPI assigned
- Jun 1, 2022
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
445 N Main St
Kanab, UT 84741-3250
Mailing address
4974 E Panorama Ave
Kanab, UT 84741-4163
Other providers in Kanab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. 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.