MRS. JACLYN CASTRONOVA (NPI# 1922312420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922312420 |
| Entity Type | Individual |
| Full Name | MRS. JACLYN CASTRONOVA |
| Credential | FNP-BC |
| Practice Address |
2380 N 400 E Ste A North Logan UT 84341-6000 |
| Practice Telephone | 4357131300 |
| Practice Fax Number | 4357877601 |
| Mailing Telephone | 4357131300 |
| Mailing Fax Number | 4357877601 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2015-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8995618-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4175 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP1740 | 05 |
| Street Address |
2380 N 400 E STE A |
| City | NORTH LOGAN |
| State | UT |
| Zip Code | 84341-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396731469 | Jeffrey Green Bennion | Otolaryngology | 2380 N 400 E, Suite #d, North Logan, UT 84341-1749 | 2005-09-23 |
| 1528438140 | Jamie Coy Grange | Physician Assistant | 2380 N 400 E, Suite D, North Logan, UT 84341-6000 | 2015-09-25 |
| 1952703472 | Mountain Division - Cvh, LLC | General Acute Care Hospital | 2380 N 400 E, North Logan, UT 84341-6000 | 2014-09-17 |
| 1245673946 | Ashley Anne Crum | Emergency Medicine | 2380 N 400 E, North Logan, UT 84341-6000 | 2013-04-11 |
| 1861731549 | Pauline Margaret Jonsson | Occupational Therapist | 2380 N 400 E, North Logan, UT 84341-6000 | 2013-01-31 |
| 1588969539 | Primary Care Pediatrics | Pediatrics | 2380 N 400 E, Suite C, North Logan, UT 84341-1756 | 2011-01-24 |
| 1609195031 | University of Utah Cache Valley Emergency Medicine | Emergency Medicine | 2380 N 400 E, North Logan, UT 84341-6000 | 2010-05-25 |
| 1215250493 | Wood Wound Care, LLC | Surgery | 2380 N 400 E, Suite H, North Logan, UT 84341-6000 | 2010-03-02 |
| 1295996700 | Barrett Paul Labrum | Pediatrics | 2380 N 400 E, North Logan, UT 84341-1756 | 2008-06-18 |
| 1578746525 | Lindsay Dawn Humes | Physician Assistant | 2380 N 400 E, Suite#d, North Logan, UT 84341-1749 | 2007-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347474 | Shane Mozingo | Nurse Practitioner | 2841 N 920 E, North Logan, UT 84341-5806 | 2020-08-19 |
| 1841859501 | Ian Michael Troesoyer | Nurse Practitioner | 1515 N 400 E Ste 104, North Logan, UT 84341-7595 | 2019-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204590 | Gabrielle Sleater Lewis | Nurse Practitioner | 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 | 2020-11-01 |
| 1164021721 | Mistie Sue Manning | Nurse Practitioner | 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010-7675 | 2020-10-23 |
| 1023617404 | Michaelle Lei Spears | Nurse Practitioner | 922 W Baxter Dr, South Jordan, UT 84095-8613 | 2020-10-18 |
| 1649878935 | Kecia Kristine Chandler | Nurse Practitioner | 285 N Main St Unit 692, Kaysville, UT 84037-6027 | 2020-10-09 |
| 1386251742 | Jennifer Lynn Castillo | Nurse Practitioner | 280 S 9500 E, Huntsville, UT 84317-9766 | 2020-09-29 |
| 1174130629 | Jessica Noel Wagner | Nurse Practitioner | 12828 S 3600 W Ste 101, Riverton, UT 84065-6853 | 2020-09-29 |
| 1962019596 | Freya Kristen Landesman | Nurse Practitioner | 60 E South Temple Ste 300, Salt Lake City, UT 84111-1041 | 2020-09-28 |
| 1750998860 | Jeremy Llewellyn | Nurse Practitioner | 395 W Cougar Blvd Fl 5, Provo, UT 84604-3323 | 2020-09-24 |
| 1356957781 | Holly Lovell | Nurse Practitioner | 56 S 1030 E, Santaquin, UT 84655-5698 | 2020-09-21 |
| 1861005688 | Cara Susan Jones Ahlstrom | Nurse Practitioner | 81 N Havenwood Dr, Kaysville, UT 84037-6881 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LOGAN |
| Zip Code | 84341 |
Please comment or provide details below to improve the information on MRS. JACLYN CASTRONOVA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.