Provider Demographics
NPI:1831723261
Name:COWLEY, JEFFERY PAUL (NP)
Entity type:Individual
Prefix:
First Name:JEFFERY
Middle Name:PAUL
Last Name:COWLEY
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84528-0686
Mailing Address - Country:US
Mailing Address - Phone:435-749-4596
Mailing Address - Fax:
Practice Address - Street 1:331 EAST HIGHWAY 123
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:UT
Practice Address - Zip Code:84539
Practice Address - Country:US
Practice Address - Phone:435-888-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6213829-4405363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily