Jessie Haderlie

Individual Active
NPI 1699509257
Psychiatric/Mental Health Registered Nurse West Jordan, UT

NPI 1699509257 belongs to Jessie Haderlie, a psychiatric/mental health registered nurse with a practice location in West Jordan, UT. The NPI was issued on August 27, 2024, and the record was last updated in NPPES on November 20, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X 11767125-4405 (UT)
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 11767125-3102 (UT)

Practice location

5573 W Bluevail Ct
West Jordan, UT 84081-5226
Phone: (801) 419-9365

Local context

Active NPPES records list 45 providers with psychiatric/mental health registered nurse as the primary taxonomy within 25 miles of this practice location's ZIP code, 22 of them within 10 miles.

The same primary taxonomy is listed by 162 in Utah and 10,919 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jessie Haderlie
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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