NPI 1003829086

Sheldon Jackson, PA

Practitioner Physician Assistant Layton, UT

Practice location

Address: 1240 E Highway 193 Suite G-1, Layton, UT 84040-8544
Phone: (801) 771-1331

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 6246293-1206 (UT)

Other Physician Assistant providers in Utah →

Registry record

NPI: 1003829086
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2006
Record last updated: 7 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.