Provider Demographics
NPI:1780375253
Name:CHAPPLE, MERICA KRISTIN (FNP-C, RN)
Entity type:Individual
Prefix:DR
First Name:MERICA
Middle Name:KRISTIN
Last Name:CHAPPLE
Suffix:
Gender:F
Credentials:FNP-C, RN
Other - Prefix:
Other - First Name:MERICA
Other - Middle Name:KRISTIN
Other - Last Name:OLMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3079 W CURRENT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-7965
Mailing Address - Country:US
Mailing Address - Phone:520-270-7005
Mailing Address - Fax:
Practice Address - Street 1:3079 W CURRENT CREEK DR
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-7965
Practice Address - Country:US
Practice Address - Phone:520-270-7005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8291206-3102163WE0003X
UT8291206-4405363L00000X, 363LF0000X
UT8291206-8900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner