Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427657352 Individual Practitioner Female Practitioner

Jessica Ray Clyde , LPN

Licensed Practical Nurse • Provo, UT

Professional Overview & Biography Verified Profile Summary

Jessica Clyde, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Provo, UT. Practice services are available at 750 N FREEDOM BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

750 N Freedom Blvd

Provo, UT 846011677

Telephone 8013734760
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Provo, UT (181 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-21
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License UT 373568-1109

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Practice Locations

750 N Freedom Blvd

Provo, UT 846011677

Phone: 8013734760

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nicole Cossey , HSW

Case Manager/Care Coordinator

NPI 1003082793
Brent Simons

Social Worker

NPI 1003106196
Louie Hamner

Student in an Organized Health Care Education/Training Program

NPI 1003114232
Sunnie Giles

Student in an Organized Health Care Education/Training Program

NPI 1003194325
Vili Lolohea

Student in an Organized Health Care Education/Training Program

NPI 1003199191
Justine Eggleston

Social Worker - Clinical

NPI 1003266255

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2020

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

📍
Updated Business Mailing Address October 21, 2020

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

👤
Provider Name / Credentials Updated October 21, 2020

Recorded as JESSICA CLYDE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2020

Licensed Practical Nurse (License #373568-1109 in UT)

🟢
Initial NPI Registration & Enumeration October 21, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427657352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2020
Last Update: October 21, 2020
Sole Proprietor: No

Mailing Address

750 N Freedom Blvd

Provo, UT 846011677

Phone: 8013734760

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.